Need to bill with modifier 25
96372 is the procedure code indicating an injection. It is not a diagnosis code.
96372 is the procedure code indicating an injection. It is not a diagnosis code.
CPT Code 99214- Office or other outpatient visit for the evaluation and management of an established patient.
CPT Code 99214- Office or other outpatient visit for the evaluation and management of an established patient.
To bill for both CPT codes 99214 (an established office visit) and 17250 (destruction of benign skin lesions), ensure that the documentation supports the medical necessity for both services. Typically, you would bill 99214 for the office visit and 17250 for the procedure performed during that visit. It's important to use appropriate modifiers if necessary to indicate that both services are distinct and not bundled. Always check for payer-specific guidelines to ensure compliance with billing practices.
Revenue code 0636 is typically used to bill for the administration of therapeutic infusions, including the administration of vaccines or injections, which aligns with procedure code 96372. This code represents the administration of a therapeutic, prophylactic, or diagnostic injection. It's essential to verify with your specific payer guidelines, as there may be variations in billing practices.
Yes, you should use a modifier 59 on the 96372 if it represents a separate and distinct service from the evaluation and management (E/M) service coded as 99213 and the J3301 injection. The 59 modifier indicates that the procedure performed is not typically encountered or performed on the same day as the other service, thus justifying separate billing. Always ensure proper documentation supports the use of the modifier.
Procedure code 96372 refers to the administration of an injection, specifically for therapeutic, prophylactic, or diagnostic purposes. It is commonly used for billing and coding in medical settings when a healthcare provider administers a subcutaneous or intramuscular injection. This code does not include the medication itself, which is billed separately.
Medical procedure code 99214 is a Current Procedural Terminology (CPT) code used to bill for an established patient office visit that involves a moderate level of complexity. It typically signifies a visit that lasts 25 to 40 minutes and includes a comprehensive evaluation and management of the patient's condition. This code is often used for patients with stable chronic illnesses or new problems that require moderate medical decision-making. It is important for healthcare providers to document the visit appropriately to justify the use of this code.
99214
CPT procedure code: 96372 (NOTE: You would also need to specify another code for the substance or drug which was injected)
96372 or Q0136 or J0886. It depends on your setting (facility) and what codes the insuracnce will take to pay the bill.