michellelopez
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Lupron Injection for endometrosis amin 96372 or 96402?
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Lupron Administration code 96372
Hi, for the administration code for Lupron, I use CPT code 96372.
Hi, for the administration code for Lupron, I use CPT code 96372.
cordaroy
New
96372 for Lupron
Does anyone have any documentation that shows we code the 96372 for the Lupron for endometriosis? We are in a great debate with coders saying 96372 and auditors saying 96402 even though it isn't for cancer therapy. Any help would be appreciated.
Does anyone have any documentation that shows we code the 96372 for the Lupron for endometriosis? We are in a great debate with coders saying 96372 and auditors saying 96402 even though it isn't for cancer therapy. Any help would be appreciated.
bear
New
Breast Cancer and endometriosis: Bill one (1) unit for each 3.6 mg injection. Administration code 96402 should be billed with J9202.
lgardner
Guest
Hi Bear,
just an FYI, the LCA you provided is an outdated policy.
here is the link to the new one: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52453&ver=37&