Medical Billing Forum

Coding => Coding => : cturner January 29, 2009, 12:42:19 PM

: CPT 96372
: cturner January 29, 2009, 12:42:19 PM

I was wondering if anyone else was having a problem with Medicare denying CPT 96372 (the new CPT that replaced 90772)?  Every time we bill an Injection Fee (96372) with an Office Level (99212-99215), it is being denied as Global.  The new CCI edits state that 96372 it is bundled with Office Visit Levels, but it states that a modifier is allowed to differentiate between the CPTs.  We used modifier -59, but when we called Medicare they told us that Modifier -59 was not appropriate & that we could rebill with an appropriate modifier.  We are not aware of any other Modifiers that would be appropriate to use.  Any suggestions?
Thanks!
CTurner

: Re: CPT 96372
: Michele January 29, 2009, 10:44:34 PM

You could try the 25 modifier on the E&M code.  I'm not sure what else. 

Michele