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Reader Question: Procedure Specifics Dictate Whether 96372 Can Be Billed With 62310 or 62311

Posted on 30. Mar, 2015 by in Coding Challenge

Question: A patient visited our office for therapeutic injections of Toradol and Kenalog. Do I report the injection codes or HCPCS medication codes? Would they be billable with an epidural injection?

Oklahoma Subscriber

Answer: You’ll need to answer several other questions before knowing how to code your claim.

First, verify whether your physician administered the therapeutic injections separate from the epidural. Some physicians think they can separately bill the injection of local anesthetic used to numb the needle insertion site for an epidural injection, but you cannot. If he administered the therapeutic injections and epidural for separate, documented reasons and in separate anatomic sites, you can code both.

Depending on your answers to these questions, here are all the potential codes for your claim:

  • CPT® 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) for the therapeutic injections. You can either report the two injections as a


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