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Multiple Injections during same office visit

  1. #1
    Default Multiple Injections during same office visit
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    I am trying to correctly file for multiple injections such as a Rocephin, Depomedrol, and Tordol. However, I am finding it impossible to get paid for the second and third injection administration fees. Can someone assist me in getting paid for this? Is this impossible?

    I am using modifier "25" for the OV and "59" for shot administration numbers 2 and 3. I don't believe any of the "X" modifiers could be used instead of the "59" and I believe "76" would be inappropriate since the shots are in the same office visit. Any help would be appreciated. Thank you!

  2. Default Multiple Injections
    What admin codes are you billing?


  3. #3
    Default 96372 Administration code
    I am using 96372 on all injections except vaccinations.

  4. #4
    Post Multiple Injections during same office visit
    CPT Code 96372 will be only reported once in this case you would report for example:

    99213 mod 25

  5. #5
    Medical Billing
    I would think one line 96372 * number of injections. MUE on the code is 4.
    CRC (2018), CPC-P-A (2016), COC-A (2016), CPC-A (2015), PAHM (2010)
    Contract/Fee Specialist - Remote

    20 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

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