2025 CPT code 96373
(Active) Effective Date: N/A Revision Date: N/A Injection - Therapeutic, Prophylactic, or Diagnostic Injections and Infusions Medicine Services and Procedures Feed
Therapeutic, prophylactic, or diagnostic intra-arterial injection (specify substance or drug).
Modifiers may apply depending on the circumstances of the service. Consult the CPT manual and payer guidelines for appropriate modifier usage.
The intra-arterial injection must be medically necessary to treat, prevent, or diagnose a specific condition.The documentation should clearly demonstrate the patient's clinical condition and why the intra-arterial injection is the appropriate course of treatment.
The physician or qualified healthcare professional is responsible for determining the medical necessity of the intra-arterial injection, discussing the procedure with the patient, preparing the medication, performing the injection, and monitoring the patient's response.
In simple words: The doctor gives medicine directly into an artery to treat, prevent, or diagnose a medical problem.The specific medicine used is recorded in the patient's medical record.
This CPT code reports the administration of a therapeutic, prophylactic, or diagnostic injection of a specified substance or drug into an artery.The procedure includes the provider's assessment of the patient, preparation of the medication, injection into the artery, and post-injection monitoring.The specific substance or drug administered must be documented.
Example 1: A patient presents with a suspected arterial occlusion. The physician performs an intra-arterial injection of a thrombolytic agent (e.g., tissue plasminogen activator) to dissolve the clot., A patient with a severe headache undergoes cerebral angiography. As part of the procedure, the physician injects contrast material into an artery to visualize the cerebral vasculature., A patient diagnosed with a peripheral artery disease undergoes intra-arterial injection of vasodilating medications to improve blood flow.
* Complete patient history and physical examination findings.* Diagnosis justifying medical necessity of the injection.* Name, dosage, and route of administration of the injected substance.* Documentation of the injection procedure itself, including site, technique, and volume administered.* Post-injection monitoring and any complications.
** Always verify payer-specific coding and reimbursement policies before billing.
- Revenue Code: P6C (Minor Procedures - Other)
- RVU: Refer to the current Medicare Physician Fee Schedule for RVU values.These values vary by geographic location and may change periodically.
- Payment Status: Active
- Modifier TC rule: Not applicable.This is a complete procedure code.
- Fee Schedule: Historical fee schedule data is available through various sources such as the CMS website or private fee schedule databases.These values are subject to change.
- Specialties:Cardiology, Interventional Radiology, Vascular Surgery, Neurology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center