Injections Guidelines

Reimbursement for injection(s) shall include CPT® code 96372 and the appropriate codes listed in the HCPCS section of the rate tables. Other surgery procedure codes defined as injections include the administration portion of payment for the medications billed. Follow the Medicare guidelines in effect for the date of service for both single and multiple use vials of injectable medications for both medications and procedures. Immunization codes (vaccines and toxoid) should be reimbursed for both the medication and the procedure, reported separately with number of units administered.