Results 1 to 8 of 8

90772 changed to 96372 for 2009

  1. #1
    Default 90772 changed to 96372 for 2009
    Medical Coding Books
    I have a question in reguards to the description on these codes. It says that this code should NOT be billed without "direct physician supervision". Does this mean that the physician has to be in the exam room while the nurse gives the injection or does it mean he has to be in the building?
    Anita Hudson, CPC
    Scott and White Bryan/College Station

  2. Smile senior biller
    no they do not have to be present in the room, phy in attendance in the office is how I understant the code.

  3. Default
    I have a question about 90772 being changed to 96372.... Have you sumitted the new code to insurance carriers yet??? Medicare is not recongizing it...Does Physican have to be in the room??

    Thanks for your help!!

  4. #4
    Greeley, Colorado
    I have not seen it come across my desk. Direct physician supervision simply means that the physician is in the office suite...not in the exam room.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    I have billed the new 96372 and medicare is recognizing for us. It was effective 1/1/09, so if you have used it for DOS prior to that, then it will deny.

  6. Default 96372
    I got an eob yesterday and Medicare denied 96372 on my patient. DOS was 01-09-09 we are an Instant care center. Place of service 20. Do you guys think the POS has something to do with it???

    update: Per Medicare's CSR 96372 cannot be used in a 20 place of service. Does anyone know where that is written?


    Last edited by jhancock; 01-23-2009 at 10:31 AM.

  7. #7
    Default im injection multiple times
    Help, If an IM of demoral was admin twice and a 3rd IM of rocephin, how many times can i code 96372?

  8. Default 96372 ...which medicare carriea paid?
    Hi Angela. To which Medicare(region) you billed 96372???
    I assum they paid you instanlty as they were 90772 in 2008. We had no problem w/90772.
    Our medicare carrier, Palmetto GBA, said need modifier 25
    even with the E/M code we appended 25 modifer.
    They said everything stated in Publication 100-04 CMP 12
    section 34??? I check 100-04 nothing said.
    Even I was told to check CR3192, CR3631, CR3818 & CR4032 (CR means "change request" per Palmetto), cannot find anything.
    Could anyone give us the clear answer?

Similar Threads

  1. 99215,96372,96372, j2550, j0282
    By nelstx2 in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 12-08-2013, 08:24 AM
  2. 90772 - Is this coding correct
    By brvr34 in forum Pediatrics
    Replies: 9
    Last Post: 07-22-2008, 10:13 AM
  3. 90772
    By kbarron in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 04-02-2008, 08:00 AM
  4. 90772 - WHen doing an injection
    By MarieL in forum E/M
    Replies: 4
    Last Post: 03-26-2008, 09:50 AM
  5. Qualifier for 90772?
    By styson in forum E/M
    Replies: 2
    Last Post: 11-25-2007, 06:43 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.