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Humira Injection

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.

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