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  1. #1
    Prescott, AZ
    Smile 20600-20610
    Medical Coding Books
    When coding for the appropriate small/intermediate/major joint for these CPT codes, do I include 96372 Thera/proph/diagnos injection??? I think the answer is no, but would like to confirm since I can't find anything in the CPT book about this. This is for a Medicare-age patient if that makes any difference.

  2. #2
    Columbia, MO
    96372 is for IM or Sq injections and the 20600 -20610 are joint injections these are not used interchangeably or together for the same injection. 96372 is an administration code for an IM or Sq injection and the 20600-20610 are the administration codes for joint injections. only a medical practitioner may administer a joint injection and a nurse may administer an IM or Sq injection. The payer makes no difference in the utilization of these codes.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    You should not code both codes for the same injection procedure, there is an NCCI edit between 206XX and the 96372, with 96372 as code 2. If you appended a modifier you would be indicating that 96372 was a separate / distinct procedure which would be inappropriate for the same injection.

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

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