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Physicians must ensure that every injection service billed under 96372 includes: Patients diagnosis linked to the medical need for the injection Drug name, dosage, and administration route Injection site (e.g., left deltoid) Time of administration Name and credentials of the person administering the injection Monitoring or observation if relevant (e.g., in psychiatric LAI cases) Below are the common reasons for the CPT code 96372 denials as per CMS and AMA CPT Guidelines: Modifier 59 identifies services or procedures other than the E/M services, which are not ideally reported together

But a monthly 4000 mcg dose would be 4 mL, with the same concentration

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Medicare and Commercial Payer Considerations for 2026 As payers continue expanding automated claim reviews, injection services remain a common audit target

The dark spectrum was collected prior to any illumination