What is CPT code 96372?

Asked by: Cynthia Pagac  |  Last update: December 20, 2025
Score: 4.8/5 (57 votes)

CPT® code 96372: Injection of drug/substance under skin or into muscle | American Medical Association.

Is CPT 96372 an administration code?

Subcutaneous and Intramuscular Injection Non-Chemotherapy

Instead, the administration of the following drugs in their subcutaneous or intramuscular forms should be billed using CPT® code 96372, (therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular).

What is the difference between CPT code 20610 and 96372?

CPT code 20610 is used for joint or bursa injections (such as steroid injections into the knee), while 96372 is for intramuscular or subcutaneous injections that do not involve joints. Essentially, 20610 relates to targeted joint procedures, and 96372 applies to general therapeutic or diagnostic injections.

What is the CPT code for B12 injection administration?

Coding a B12 injection

Is 90782, “Therapeutic, prophylactic or diagnostic injection (specify material injected); subcutaneous or intramuscular,” the proper code for administering a vitamin B12 injection in the office if the patient provides the medication?

Can you bill a 96372 with an office visit?

Using procedure code 96372 to bill for a provided service during a previous visit or billed as an E/M code during the same visit will result in denial. To bill an additional E/M service provided with the injection during the same visit, the healthcare provider must ensure appropriate documentation is in place.

Intramuscular or Subcutaneous Injection CPT codes

43 related questions found

Can 99214 and 96372 be billed together?

Yes, as long as your documentation supports it. Also, don't forget to append modifier 25 to the E/M code.

Can an office visit be billed with an injection?

It is true that an evaluation and management code, an E/M or office visit, can be reported with a minor procedure such as an injection, but only if the E/M is significant and separate and exceeds the “pre-service evaluation” that is inherent to the injection.

Does insurance cover B12 injections?

Many insurance companies recognize the importance of essential vitamins like B12 for overall health and may cover the cost. However, it's crucial to consult with your insurance provider to understand the specifics of your coverage, including potential co-pays or deductibles.

What is the protocol for B12 injections?

Vitamin B12 deficiency anaemia is usually treated with injections of vitamin B12, called hydroxocobalamin. At first, you'll have these injections every other day for 2 weeks or until your symptoms have started improving. Your GP or nurse will give the injections.

What code will cover vitamin B12?

Cyanocobalamin (Vitamin B-12)

CPT-4 code 82607 (cyanocobalamin [vitamin B-12]) is reimbursable only when billed in conjunction with one or more of the following ICD-10-CM codes.

Why is Medicare denying 96372?

Inappropriate or missing modifier. CPT code 96372 is not properly documented, indicating that a procedure or service was distinct or independent from other services performed on the same day. CPT code 96372 is used for certain types of vaccinations. Most vaccinations are typically coded with 90471 or 90472.

Can you code 96372 twice?

Answer: CPT code 96372… should be reported for each intramuscular (IM) injection performed. Therefore, if two or three injections are performed, it would be appropriate to separately report code 96372 for each injection.

What diagnosis is covered by CPT code 20610?

CPT code 20610 is used for a procedure where a healthcare provider drains fluid from or injects medication into a joint or bursa without using ultrasound guidance. This code typically applies to treatments for conditions like arthritis or bursitis to relieve pain and inflammation.

What is CPT code 96372 and 20610?

20605 and 20610 are joint injection codes, the 96372 is for sq or IM injections, very different issues. They are not used together for the same injection. The 20610 or 20605 are the admin codes for the joint injection the J code is the drug/substance injected. The 96372 is not coded for a joint injection.

What is the CPT code for vitamin D injection?

Vitamin D, 1,25-dihydroxy (CPT code 82652) is primarily indicated during patient evaluations for hypercalcemia and renal failure.

Does UHC cover CPT 96372?

A: Yes, UnitedHealthcare would reimburse for both the HCPCS drug code and the Injection or Infusion code (CPT 96360-96379) under the guidelines of this policy.

Why do I feel so bad after a B12 injection?

The sudden increase in B12 can cause nausea, dizziness and headaches when first injected into the muscle. The human body is usually quick to adjust, though, so these symptoms should fade soon afterward. In rare cases, B12 can affect your potassium levels, causing muscle cramps or spasms.

Who Cannot take B12 injections?

They need to know if you have any of these conditions:
  • Kidney disease.
  • Leber's disease.
  • Megaloblastic anemia.
  • An unusual or allergic reaction to cyanocobalamin, cobalt, other medications, foods, dyes, or preservatives.
  • Pregnant or trying to get pregnant.
  • Breast-feeding.

Does drinking water lower B12 levels?

"As you intake more water you can begin to flush water soluble vitamins and minerals," Dr. Kinney told INSIDER. "Water soluble vitamins, such as the B Vitamins (B1, B2, B3, B6 & B12) & vitamin C, are not stored long term and may be excreted with excess water intake if you're not taking in proper supplementation, too.

What diagnosis will cover B12 injections?

Intramuscular or subcutaneous vitamin B-12 injections only for members with current or previously documented B-12 deficiency and any of the following diagnoses and conditions:
  • Anemia. ...
  • Gastrointestinal Disorders. ...
  • Neuropathy. ...
  • Dementia Secondary - dementia secondary to vitamin B-12 deficiency; or.
  • Homocystinuria; or.

How much should a B12 shot cost?

The cost of a B12 shot can vary based on your insurance. Typically, they cost about $50-80.

What are the negatives of B12 injections?

Common side effects
  • Pain, swelling or itchy skin where you had the injection. These symptoms are usually mild and should only last a few hours. ...
  • Feeling or being sick (nausea or vomiting) Stick to simple meals and avoid rich or spicy food. ...
  • Diarrhoea. ...
  • Headaches. ...
  • Feeling dizzy. ...
  • Hot flushes.

Can 96372 be billed alone?

You may report 96372 in the facility without the physician present. Injections for allergen immunotherapy have their own administration codes, 95115-95117. Do not report 96365-96379 with any codes that describe a procedure of which IV push or infusion are a part.

What is 57 modifier?

CPT modifier 57 may be used to report the decision for surgery for certain codes. This modifier may be used to indicate that an evaluation and management (E/M) service performed on the same day or the day before a major surgery (090 global days) by the surgeon resulted in the decision to perform the procedure.

What is the CPT code for injection fee?

CPT® code 96372: Injection of drug or substance under skin or into muscle.