Question: What does therapeutic drug administration include?
Answered by Arslan Suleymanov, editor-in-chief of WCH Insights, medical reimbursement specialist:
Antibiotic therapy for active infection and therapeutic medications such as digoxin or phenytoin for treating an active infection are examples of therapeutic drug administration services. The cost of routine treatment supplies, as well as the usage of the facility, is covered by the administrative service.
This service may be reported using the CPT code 96372 (therapeutic, prophylactic, and diagnostic injections and infusions). Please be advised that this procedure requires proof of strong medical necessity to be documented in a patient’s clinical charts. Any discrepancy between what is reported and what has actually been performed leads to claim denials, insurance audits, and civil/criminal liability.
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