CPT^® 96377, Under Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration)

The Current Procedural Terminology (CPT^®) code 96377 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).

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Summary

The provider fills a specially developed injector device with medication and applies the attached patch to the skin of a patient; on activation, the injector automatically inserts a cannula under the skin (subcutaneously) for delivery of medication at a timed interval following activation. An on–body injector permits supply or larger quantities of medications to be delivered in increments at timed intervals.

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96365 Mod needed ???

[QUOTE="alderego002, post: 506927, member: 780888"] Thank you...The infusion was actually antibiotic Tx. Not used for anesth. Would I need a mod?? [/QUOTE] If the antibiotic infusion is completely unr... [ Read More ]

96377- Anthem BCBS Denials

Is anyone else having issues with Anthem paying for 96377? They are asking for records on these and then denying stating "not medically necessary". They are processing the drug Neulasta OBI) just fi... [ Read More ]

Office visit or injection?

[QUOTE="AprilSueMadison, post: 476238, member: 118514"] If doctor is in the building and doesn't see the patient but wrote an order for the injection two months ago (last visit) - the nurse provided t... [ Read More ]

Failed Injection J2505 Neulasta

[b]Failed Injection[/b] Hi, If the NOBI (Neulasta On Body Injector) failed regardless of how it failed (patient error or malfunction), you cannot bill for either the NOBI or the administration (J2505... [ Read More ]

Failed Injection J2505 Neulasta billing j2505 failed injection j2505 neulasta

I need assistance with the following scenario, trying to determine the most appropriate way to bill. We have a patient that had a Neulasta OnPro injector placed on 2/19/19 and it happened to malfunc... [ Read More ]

Facility Charge when performing an injection

New to Outpatient billing and facility charges. If a patient presents for an injection can we bill a facility charge along with the administration (96377) and the medication HCPCs? No E/M was done by ... [ Read More ]

96377 denial as not medical necessary

HI is any one receiving denials when billing correctly for cpt 96377 and J2505 as not medically necessary by a payer ? Received denial for 2nd and 3rd, after supplied to patient billed exact ... [ Read More ]

Facility E/M Straightforward 99281

[QUOTE="fami, post: 431885, member: 18765"]Hi, Question; do you bill 99211- with chemo/ infusion service on the same day at the facility clinic? Any link to CMS or compliance you have to share? Tha... [ Read More ]

Coding Repatha Pushtronex system

Is code 96377 the correct code for application of the Repatha Pushtronex System. Chart note states: Medication: Repatha Pushtronex system 420mg/3.5ml placed on abdomen- right side and infused over... [ Read More ]

infusion coding

Mesna is not a chemo drug. It is a medication used in those taking cyclophosphamide or ifosfamide to decrease the risk of bleeding from the bladder. ***unless Mesna is a chemo-like drug??*** 96549 i... [ Read More ]

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