Wiki 96372 payable on ub and 1500?

[ezra1976]

I am billing charges for a Orthopedic hospital based clinic place of service is 22, is it within compliance to bill the 96372 Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular on both a UB and 1500?? The doctor is the one giving the injection.

 

[kevbshields]

Yes, based on your description, the charge (code) would appear on both billing forms. The reimbursement rates are different for facility and non-facility settings. Within the hospital-based clinics, the facility is due its portion of the reimbursement (for overhead, supplies, etc).