AMA CPT® Assistant - 2018 Issue 12 (December)

Medicine: Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy (Q&A) (December 2018)

December 2018 page 11a Medicine: Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy Question: What is the appropriate CPT code to report injection of a steroid, without fluoroscopic or ultrasound guidance, into the left sciatic notch for a patient who suffers from sciatic neuralgia? Answer: Code 96372, Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular, would be reported for this procedure. Note that code 96372 describes a single intramuscular or subcutaneous injection. Should fluoroscopic guidance be performed, this is additionally reported using code 77002, Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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