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