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Boj SF, Hwang CI, Baker LA, Chio II, Engle DD, Corbo V, et al

Use CPT 96372 when: A nurse or provider gives the injection in the office The drug is separately reportable and you list it on the claim The reason for the injection is medically necessary The procedure isnt already bundled into another service or E/M visit Documentation includes dose, route, and site of administration Dont use it when: The injection is part of a surgical package or global period The visit was solely for the injection and no separate service was provided The patient self-administered the drug You didnt provide documentation of the administration 96372 is a standalone code, its not supposed to rely on unrelated services unless certain criteria are met like modifier 25

The rationale is mechanistic extrapolation, not demonstrated synergy

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