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Thread: Documentation for 96372

  1. #1

    Default Documentation for 96372

    AAPC: Back to School
    Does anyone have some advice as to what proper documentation would be to show that the supervising physician was present when 96372 is performed?

  2. #2

    Default 96372 Injection

    If patient is coming in for bi-weekly therapeutic injections, you need only document J code & 96372. Do not bill with 99211. Hope this helps

  3. #3
    Join Date
    Apr 2007
    Alexandria Minnesota Chapter


    I found an old post about this same question. Basically, the physician doesn't have to be 'present', just available in the office suite in case they are needed for assistance or direction.
    See old post below:

    96372: Injection
    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 01-27-2009, 10:49 AM
    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 01-27-2009, 10:56 AM
    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, CPC-P, CCS-P
    Minneapolis AAPC Chapter
    New Member Development Officer 2009

    #4 01-27-2009, 11:00 AM
    That is my understanding as well. Physician present in office/ suite to provide assist, if needed.
    Karen Maloney, CPC
    Data Quality Specialist

    #5 01-27-2009, 11:12 AM
    Thanks for that clarification. The wording in CPT 2009 is a little confusing.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

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