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96372 payable on ub and 1500?

  1. #1
    Question 96372 payable on ub and 1500?
    Medical Coding Books
    I am billing charges for a Orthopedic hospital based clinic place of service is 22, is it within compliance to bill the 96372 Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular on both a UB and 1500?? The doctor is the one giving the injection.

  2. #2
    Location
    Louisville, KY
    Posts
    1,101
    Default
    Yes, based on your description, the charge (code) would appear on both billing forms. The reimbursement rates are different for facility and non-facility settings. Within the hospital-based clinics, the facility is due its portion of the reimbursement (for overhead, supplies, etc).

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