What is included in CPT 96365?
The Current Procedural Terminology (CPT®) code 96365 as maintained by American Medical Association, is a medical procedural code under the range – Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration).
When do you use CPT code 96367?
. Report subsequent non-chemotherapy infusion of medication using HCPCS code 96367 (additional sequential infusion, up to 1 hour). This code describes the infusion of a second or subsequent non-chemotherapy drug after the initial drug infusion, regardless of whether the initial drug is chemotherapy.
Is CPT 96365 and add-on code?
Add-on code +96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) may be reported with 96365, 96374, 96409, or 96413 to identify an IV push of a new drug when …
Can you bill an office visit with chemotherapy?
You can only bill for chemotherapy administration if you own the facility. If it is a hospital–based infusion center, you cannot collect for chemo administration.
How do you bill methotrexate injection?
Methotrexate is classified as a chemotherapy drug, specifically an antimetabolite. Therefore, the intramuscular injection of Methotrexate should be reported with CPT code 96401, representing injection of a non-hormonal antineoplastic. You should not report the injection using CPT code 96372 for a therapeutic drug.
What is the CPT code for IV hydration 45 minutes initial?
According to the American Medical Association (AMA), CPT code 96360 is used to report intravenous (IV) infusions for hydration purposes.
How do you bill for chemotherapy?
Office visits on the day of chemo should be reported using the appropriate E/M code (usually 99214-99215) with modifier -24 if during the global period.
How do you code chemotherapy?
Code 96413 (chemotherapy administration, intravenous infusion technique; up to one hour, single or initial substance/drug) would be used to report the first 90 minutes of the infusion.
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