If you administer an injection in your office, e.g., naltrexone extended-release (Vivitrol®) or depot antipsychotics, you can bill for the administration of the injection separately from the billing for the visit itself. The CPT code 96372 should be used–Therapeutic, prophylactic, or diagnostic injection.
Subcutaneous and Intramuscular Injection Non-Chemotherapy Instead, the administration of the following drugs in their subcutaneous or intramuscular forms should be billed using CPT code 96372, (therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular).
HCPCS code J1100 for Injection, dexamethasone sodium phosphate, 1 mg as maintained by CMS falls under Drugs, Administered by Injection .
HCPCS Code Details - J2315HCPCS Level II Code Drugs administered other than oral method, chemotherapy drugs SearchHCPCS CodeJ2315DescriptionLong description: Injection, naltrexone, depot form, 1 mg Short description: Naltrexone, depot formHCPCS Modifier1HCPCS Pricing indicator51 - Drugs9 more rows
Other complications following infusion, transfusion and therapeutic injection, initial encounter. T80. 89XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
A: Medicare requires the use of CPT code 96372 –Therapeutic, prophylactic, or diagnostic injection, specify substance or drug; subcutaneous or intramuscular for the administration of biologics.Aug 19, 2019
Answer: HCPCS code J1094 (injection, dexamethasone acetate, 1 mg) is no longer manufactured. However, HCPCS code J1100 (injection, dexamethasone sodium phosphate, 1 mg) is currently available.Dec 31, 2018
J0696 is a valid 2022 HCPCS code for Injection, ceftriaxone sodium, per 250 mg or just “Ceftriaxone sodium injection” for short, used in Medical care.Jan 1, 1990
HCPCS code J1642 for Injection, heparin sodium, (heparin lock flush), per 10 units as maintained by CMS falls under Drugs, Administered by Injection .
Do Medicare prescription drug plans cover Vivitrol? Yes. 69% of Medicare prescription drug plans cover this drug.
VIVITROL - NDC drug/productNDCTrade NameLabeler Name65757-0300VIVITROLAlkermes, Inc.65757-0301VIVITROLAlkermes, Inc.
CPT® code 96372: Injection of drug/substance under skin or into muscle | American Medical Association.