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When Should CPT 96372 (Administration Of A Medication) Be Used With An Office Visit?

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CCO_Admin

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CCO Admin asked:

We have lots of discussion at work and am looking for a definitive answer/resource. When should CPT 96372 (administration of a medication) be used with an office visit?

Answer:

AMA Guidelines:

> (For administration of vaccines/toxoids; see [90460](https://www.findacode.com/code.php?set=CPT&c=90460); [90461](https://www.findacode.com/code.php?set=CPT&c=90461); [90471](https://www.findacode.com/code.php?set=CPT&c=90471); [90472](https://www.findacode.com/code.php?set=CPT&c=90472))

>

> (Report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) for non-antineoplastic hormonal therapy injections)

>

> (Report [96401](https://www.findacode.com/code.php?set=CPT&c=96401) for anti-neoplastic nonhormonal injection therapy)

>

> (Report [96402](https://www.findacode.com/code.php?set=CPT&c=96402) for anti-neoplastic hormonal injection therapy)

>

> (Do not report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) for injections given without direct physician or other qualified health care professional supervision. To report; use [99211](https://www.findacode.com/code.php?set=CPT&c=99211). Hospitals may report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) when the physician or other qualified health care professional is not present)

>

> ([96372](https://www.findacode.com/code.php?set=CPT&c=96372) does not include injections for allergen immunotherapy. For allergen immunotherapy injections; see [95115](https://www.findacode.com/code.php?set=CPT&c=95115)-[95117](https://www.findacode.com/code.php?set=CPT&c=95117))
 
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