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Antibiotics given prior to cystoscopy

David Posted Wed 01st of March, 2017 17:00:48 PM
We are seeing patient who are being given antibiotics via injection (96372) prior to their cystoscopy. We are billing for both the cysto and the injection 52000, 96372-59. Is the injection of the antibiotic something we can be billing for separately? In the most recent case the patient had a previous knee surgery and has a proven allergy to Cipro, which we normally give and do not charge for. So due to the allergy to Cipro we give an injection of gentamycin. Thoughts?
SuperCoder Answered Thu 02nd of March, 2017 02:56:23 AM

Hi,

 

Per NCCI, under the OPPS drug administration services related to operative procedures are included in the associated procedural HCPCS/CPT codes.

 

Therefore, 96372 would be considered inclusive of the cystoscopy procedure (52000).

Only bill for cystoscopy procedure, CPT 52000.

 

Thank you!

David Posted Thu 02nd of March, 2017 10:42:18 AM
Makes sense...thank you! What about the drug....can we bill the J code for that?
SuperCoder Answered Fri 03rd of March, 2017 05:51:33 AM

Hi,

 

You can bill the appropriate J code (drug code) with units of the drug administered.

 

Thank you!

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