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CPT 96372

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cturner:
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

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

Michele

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