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96372 x 2 qty??

  1. Question 96372 x 2 qty??
    Medical Coding Books
    Scenario is....

    Patient received injections of Demerol 100mg in the left glut and Compazine 10mg/2ml in the right glut for migraine. Is it appropriate to bill 96372 x 2 qty, since injections were at different sites?:confused:

  2. #2
    I have a similar question. Patient is getting two injections of lupron on the same day. Can we bill 96372 twice? Or should we use 2 units?

    Any advice would be appreciated,

  3. #3
    Seacoast- Dover New Hampshire
    What about using lt and rt modifiers?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  4. #4
    I didn't think about that.
    That would work for left and right hip. I'll try it.

  5. #5
    Greeley, Colorado
    I don't think rt and lt will work for the administration. I would code x2.
    Lisa Bledsoe, CPC, CPMA

  6. #6
    Duluth, Minnesota
    I agree with Lisa - rt/lt (not on this code)... I'd use a .59 on the second injection administration code.
    Donna, CPC, CPC-H

  7. #7
    Thanks for the prompt replies everyone!!


  8. Question 96372
    I'm also questioning the appropriate coding for multiple admins. We have been submitting with 2 units when 2 separate injections are administered. Most insurances do pay for 2 units, which is most helpful since the Jcodes are paying so little now and often don't even cover our costs. However, we have one insurance that has now notified us that multiple units are not appropriate and are recouping (!!!!) their overpayments. I'm searching for any "official" information that would specify whether or not multiple units are appropriate for use with this code. The instructions at the beginning of the section in the CPT book (page 435 in the AMA Professional Version) do not address the multiple units issue. Anybody got any ideas about where to locate such info? I'm looking for something "official" to use in rebutting the insurance company's decision to recoup. It's going to affect a lot of claims and create a bit of a mess in our billing system.

    Thank you.
    Last edited by jah060657; 04-15-2009 at 03:40 PM.

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