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.
CPT® code 96372: Injection of drug or substance under skin or into muscle.
Z23 may be used as a primary diagnosis for immunizations in the OP and physician setting.
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.
Some of the most commonly used HCPCS Level II Codes, J-codes are used for non-orally administered medication, chemotherapy, and immunosuppressive drugs, and inhalation solutions as well as some orally administered drugs.
Drugs, Administered by Injection HCPCS Code range J0120-J7175.
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
According to ICD-10-CM guidelines, clinicians may assign code Z28. 310, “Unvaccinated for COVID-19,” when the patient has not received a dose of any COVID-19 vaccine. Clinicians may assign code Z28.
Code Z23 is used to indicate any encounter for a vaccination. The procedure codes are used to identify the type of the immunization given and how it was administered.
Can CPT Code 96372 Be Billed Alone? Yes, it is allowed to be billed alone when the injection is performed alone or in conjunction with other procedures/services as allowed by the National Correct Coding Initiative (NCCI) procedure to procedure editing.
Answer: Unfortunately, no. It is true that an evaluation and management code, an E/M or office visit, can be reported with a minor procedure such as an injection, but only if the E/M is significant and separate and exceeds the “pre-service evaluation” that is inherent to the injection.
Injection and Infusion Coding Scenarios How is this reported? Answer: Coders should use 96365 for the first hour of infusion, 96366 for the second hour of infusion, and for the IV push of the same drug.