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96372: Injection

  1. Default 96372: Injection
    Medical Coding Books
    RE: 96372, which states “Physicians do not report 96372 for injections given without direct physician supervision. To report, use 99211. Hospital may report 96372 when the physician is not present.” What is your organization's interpretation of "direct physician supervision"? Does the physician have to administer the injection, be present in the exam room, or just be in the suite? Thank you!

  2. #2
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    I posted the same question a few hours ago. So far I have not had a response.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Default
    Per CMS, direct supervision in the office setting does not mean that the physician must be present in the same room. However, the physician must be present in the office suite and immediately available to provide assistance and direction throughout the time the services are being performed.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  4. #4
    Location
    Albany, New York
    Posts
    456
    Default
    That is my understanding as well. Physician present in office/ suite to provide assist, if needed.
    Karen Maloney, CPC
    Data Quality Specialist

  5. #5
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Thanks for that clarification. The wording in CPT 2009 is a little confusing.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

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