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Jodi Posted Wed 22nd of May, 2013 21:48:50 PM

Can a nurse practitioner charge 96372 with injection when the doctor is not on the property?

SuperCoder Answered Wed 22nd of May, 2013 21:55:41 PM

As of August 1, 2012, all health care professionals with prescribing authority are eligible to receive reimbursement for providing injections of behavioral health medications. CPT® Code 96372 has been added to all MD and nurse practitioner fee schedules.

The addition of CPT Code 96372 to fee schedules enables prescribing health care professionals to receive reimbursement for the actual administration of the medication by injection. The medication delivered through injection will continue to be evaluated for benefit by the patient's pharmacy benefits administrator.

Additionally, precertification is no longer required for providing medications by injection. However, we encourage all health care professionals to verify current benefits before these services are provided. When appropriate, some health care professionals may also bill for an injection and an additional behavioral health service (e.g., CPT 90801, 90862, etc.) on the same date of service. Please note that if an injection is provided with another distinct service, the patient is only liable for one copayment.

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