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What Are the CPT Code 96372 Rules To Ensure Successful Reimbursement

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Size:100 mcg/ml - 1 box (10amp. x 1ml) -discount code N/A

use J3490 (unclassified) only when no specific code exists Units calculated — convert the administered dose into billing units based on the J code descriptor (often per mg or per mL) CPT administration code paired — add the appropriate injection (96372) or infusion (96413/96365) CPT code for the delivery method Claim submitted — J code + CPT + ICD-10 diagnosis + NDC (if required by payer) submitted on CMS-1500 or UB-04 How are dosage units calculated