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When a Medicare patient receives an injection of IM penicillin G benzathine, 100,000 units only, what is the appropriate code assignment?

-96372
Therapeutic, prophylactic or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
-96374
Therapeutic, prophylactic or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug
-J0558
Injection, penicillin G benzathine, and penicillin G procaine 100,000 units
-J0561
Injection, penicillin G benzathine, 100,000 units

User Prakash P
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1 Answer

4 votes

Final answer:

When a Medicare patient receives an injection of IM penicillin G benzathine, 100,000 units only, -96372 is the appropriate code assignment.

Step-by-step explanation:

The appropriate code assignment for a Medicare patient receiving an injection of IM penicillin G benzathine, 100,000 units only, is -96372. This code represents a therapeutic, prophylactic, or diagnostic injection specified for subcutaneous or intramuscular administration. In this scenario, the injection is intramuscular, aligning with the administration of penicillin G benzathine.

The other options (-96374, -J0558, -J0561) do not precisely match the description of the provided scenario. -96374 refers to intravenous push, -J0558 includes both penicillin G benzathine and penicillin G procaine, and -J0561 specifically designates penicillin G benzathine but doesn't align with the unit dosage mentioned (100,000 units). Therefore, -96372 is the most appropriate code for the described injection.

Correct coding is essential for accurate billing and documentation in healthcare settings. Assigning the appropriate code ensures that healthcare providers receive proper reimbursement for services rendered and facilitates consistent and standardized medical recordkeeping. In this case, -96372 accurately reflects the administration of an intramuscular injection of penicillin G benzathine for a Medicare patient.

User Jfrey
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