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Michelle Posted 6 Year(s) ago

Will you give me some clarification for the CPT code 96372? The description says (physicians do not report 96372 for injections given without direct supervision.) Does this mean the Doctor has to be standing over the nurse or just has to order the injection and be in the building?

SuperCoder Posted 6 Year(s) ago

Physician work related to hydration, injection and infusion services involves the affirmation of the treatment plan and the direct supervision (pursuant to “incident to” requirements) of non-physician clinical staff.
Direct supervision in the office setting means the physician must be present in the office suite and immediately available to furnish assistance and direction throughout the performance of the procedure. It does not mean that the physician must be present in the room during the entire time the procedure is performed.

Michelle Posted 6 Year(s) ago

Can we bill for the 96372 with any of these: Rhogam J2790, Stadol J0595, Rocephin J0696, Tigan J3250, Phenergan J2550? Also can we bill for the nurse to get the Vitals 99211?
Right now we are billing for the 96372 and the medication and we are only getting paid for the medication not the injection of the medication.

Linda Posted 6 Year(s) ago

We are also not getting reimbursed for the injection code 96372, only the medication.

Robert Posted 6 Year(s) ago

Do you need to attach a modifier to either the injection or medicaiton code?

Posted by Michelle, 6 Year(s). There are 5 posts. The latest reply is from Robert.

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