Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration) CPT® Code range 96365- 96379

The Current Procedural Terminology (CPT) code range for Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration 96365-96379 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 96365- 96379
Section 96365-96379
Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration)
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My provider also does a normal saline with the covid infusion via IV. Should I be billing for that separately or is it wrapped in the M0243 cost? Can I bill for all these? [LIST] [*]RATE FLOW REGULAT... [ Read More ]
[QUOTE="tammym7797, post: 458998, member: 611619"] Do pediatric consults (inpatient) get paid by most insurance companies? What if a pediatrician is consulted to hospital and only monitors IV antibio... [ Read More ]
[QUOTE="melody.roth@regence.com, post: 449691, member: 293905"]For professional billing Infusions and IV push, should the infusate code be billed in addition to the infusion code? For Hospital Outpat... [ 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 ]
[b]I would only submit for the injection.[/b] Codes 96365-96379 hit NCCI edits with 99211. This can be overwritten with a modifier, however unless your nurse was educating the patient on something mo... [ Read More ]
Josie, It is appropriate to bill for the premed administration even in a facility. The codes range from 96365 through 96379. Since the chemotherapy would be your highest level of service and where you... [ Read More ]
The facility would report J2001 as they incurred the cost of the drug. J2001 would not represent the physician work of the infusion. Below is some examples of codes that might describe an infusion b... [ Read More ]
[b]Xgeva[/b] The practice I work for is in PA. The Medicare contractor here is Novitas. We use 96401 because Xgeva is considered a Monoclonal Antibody. This is from a Local Coverage Article from th... [ Read More ]
According to the sectional guidelines in the CPT book, (Do not report 96365-96379 with codes for which IV push or infusion is an inherent part of the procedure [eg, administration of contrast material... [ Read More ]
Check out the CPT codes 96365-96379...we use the 96374/26 for the Nuclear stress test...(78452) and this is op not ip...hope these help you out!!... [ Read More ]