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Humira

Heidi Posted Wed 08th of March, 2017 06:22:34 AM
patient brings with them Humira we bill CPT 96372 we only bill 2 units can we bill more per site injected?
SuperCoder Answered Thu 09th of March, 2017 02:15:35 AM

Each medically necessary injection can be billed separately, regardless of whether the injection is subsequent, or not for a new drug.

The exception to this rule is the single preparation of the sub-Q or IM dose that exceeds the volume safely injected at a single site. When the volume of an injected dose requires it to be split into two or more syringes, you may bill only a single unit of service for 96372.

For example, if you administer two separate drugs, but use three injections to administer them, you would report two injections (96372, 96372-59 Distinct procedural service, and the drug supply codes).

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