Chemotherapy Administration and Other Highly Complex Drug or Highly Complex Biologic Agent Administration
Chemotherapy Administration and Other Highly Complex Drug or Highly Complex Biologic Agent Administration CPT® Code range 96401- 96549
The Current Procedural Terminology (CPT) code range for Chemotherapy Administration and Other Highly Complex Drug or Highly Complex Biologic Agent Administration 96401-96549 is a medical code set maintained by the American Medical Association.
Subscribe to Codify by AAPC and get the code details in a flash.
The Medicare Advantage organization says they are being held to unreasonable standards. Health Net of California Inc. was recently called out by the Office of Inspector General OIG for failing to subm... [ Read More ]
Reduce the clutter on your home page with one click. Codify offers a lot of tools on its home page but you dont always want all of them expanded at once. There is a simple way to maximize the tools yo... [ Read More ]
Strategies for unlocking a dialogue with physicians. As auditors we bridge the gap between medical coding accuracy and financial stability in healthcare organizations. Its our role to knock on the doo... [ Read More ]
Encourage patients to take stock of their relationship with alcohol. From Dry January and Dry July to Sober September and Sober October the monthlong abstinence trend of shunning alcohol has gained gr... [ Read More ]
Meet a member who never stops learning and growing. Each month AAPC selects a member who demonstrates exemplary leadership qualities. This month weve chosen Jennifer Lavoie RN CPC. Lavoie has enjoyed ... [ Read More ]
I assume you mean a non-cancer diagnosis, not non-chemo?
Per CPT guidelines, "[I]Chemotherapy administration codes 96401-96549 apply to parenteral administration of non-radionuclide anti-neoplastic... [ Read More ]
Can you provide more details about what you mean by complex?
Maybe you are referring one of these?
96365 for a solution + medication infusion lasting over 16 min and up to 1 hour
99601 (profession... [ Read More ]
When its just an IV PUSH there does not need to be a stop time. If it truly was an IV drug hung for say 20 minutes yes there would need to be start and stop times but the PUSH IV drugs do not need t... [ Read More ]
Below from the AMA/CPT, it is not intended in a facility setting that a physician would report codes such as 96360-96379. They believe an IM injection would typically be ordered by the physician and p... [ Read More ]
The below addresses your question regarding an E/M code being reported.
"If a significant, separately identifiable office or other outpatient Evaluation and Management service is performed, the appr... [ Read More ]
[QUOTE="OCD_coder, post: 296245, member: 16463"]My CPT book by the AMA does not state "non-malignancy" in the description so I am not sure where the failure is for us. Yes, you can use the code.
Her... [ Read More ]
I work in an oncology clinic and am curious as to what administration code have you been using? We have been using 96401, but was recently told to use 96549- unlisted chemo procedure.. Is that correc... [ Read More ]
The description prior to that section of codes includes the statement: "The term 'chemotherapy' in 96401-96549 includes other highly complex drugs or highly complex biologic agents." I coded for an i... [ Read More ]