Nikki Posted Fri 03rd of February, 2012 21:08:12 PM
What CPT code do I need to bill for a Humira injection? The patient brought in a sample and the nurse administered the drug. Should we use the 96372 or the 96401 code? I'm leaning more towards the 96372 because we are using the drug for a patient with Chron's disease.
SuperCoder Answered Tue 14th of February, 2012 09:31:40 AM
Humira injection is: J0135 - INJECTION, ADALIMUMAB, 20 MG
You cannot use 96401 since Humira is a drug "other than chemo". So can use 96372, butthis cannot be reported by physician in the facility setting.