The Current Procedural Terminology (CPT ®) code 96372 as maintained by American Medical Association, is a medical procedural code under the range - Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration). When billing for professional services, you should report 96372 Therapuetic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular for each medically appropriate injection provided, as instructed in CPT Assistant (May 2010; Volume 20: Issue 5): Question: What is the appropriate CPT code to report when a patient receives two or three intramuscular ... Injection: Do not use CPT® 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular.

Understanding the Context

This code does not include injections for allergen immunotherapy. In what situation is your charge entry employee adding the modifier? You will not find anything stating that this modifier is not to be used with CPT code 96372 because there is no such rule, and in fact there are situations in which the modifier is required. But whether or not a modifier 59 is appropriate on this code would depend on what other services are billed by the provider on the same ...

Key Insights

Codes 96372 and 96373 may be reported with any hydration therapy, IV drug administration, or chemotherapy administration during the same encounter. Use Codify for fast CPT code lookup and search. Access CPT codes and get help in describing exactly what service a healthcare provider has performed. The Current Procedural Terminology (CPT ®) code 96401 as maintained by American Medical Association, is a medical procedural code under the range - Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration. To code administrations properly, it is important to understand these key terms.

Final Thoughts

Push – Also known as a bolus, is medication administration from a syringe directly into an ongoing IV or intra-arterial infusion or saline lock. Per CPT ®, if a health care professional administers a substance/drug intravenously or intra-arterially, and is continuously present to administer and observe the ...