Wiki Injections with no provider on site

[Tarheelcoder]

Hi there!

Can an RN, LPN, CMA or RMA give an injection (Haldol, Abilify, Risperdal, Invega Sustenna) without a supervising physician on site at the time of the injection? If yes, please give me a resource that I can give to our clinical team that supports it. CPT states "Do not report 96372 without direct physician or other qualified health care professional supervision". Is an RN considered a qualified health care professional? This is in an office setting.

Thanks in advance.

 

[mitchellde]

Check your state licensing requirements for a physician office. In every state I have checked for an office to be licensed as a physician office, there must be a physician or credentialed NPP on site at all times there are patients in the office. An RN is not an NPP. I know the CPT book says if no direct physician supervision you use 99211. However without a physician or NPP on site you have no one to bill under. You cannot use an NPI in 24J of a provider that is not on site rendering or supervising the service provided.

 

[Mariefonseca]

Cpt

What CPT code can be used for Invega Sustenna? Thank you!

 

[lilrascal5]

It depends on the ML used

PHARMACY PALIPERIDONE 117 MG/0.75 ML INJ KIT 65124941 $37.11
00219 HOSPITAL PHARMACY PALIPERIDONE 156 MG/1 ML INJ KIT 65124942 $37.11
00219 HOSPITAL PHARMACY PALIPERIDONE 234 MG/1.5 ML INJ KIT 65124943 $36.03
00219 HOSPITAL PHARMACY PALIPERIDONE 78 MG/0.5 ML INJ KIT 65125235 $36.03