Advanced Search

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.

Subscribe to Codify by AAPC and get the code details in a flash.

Request a Demo 14 Day Free Trial Buy Now
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)
96375
96376
96377
96379
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
Click on a blue code to see a sample of a CPT® code's details page.
Showing 11 to 14 of 14 results
< 1 2
Check Out These HCPCS Level II Code Changes in Effect Oct. 1
September 06, 2023
New codes may help providers get paid for emerging services and supplies. The Centers for Medicare 38 Medicaid Services CMS has posted the HCPCS Level II code set update for fourth quarter 2023 on its... [ Read More ]
Taking an AAPC Exam in 2024? A Change Is Coming.
September 06, 2023
AAPC members will soon have a new way to take their credentialling exams. AAPC Chief Product Officer Raemarie Jimenez CPC CDEO CIC CPB CPMA CPPM CPCI CANPC CRHC and Jaci Kipreos CPC COC CDEO CPMA CRC ... [ Read More ]
5 Questions to Ask When Verifying Speech Therapy Benefits
September 01, 2023
Understanding the intricacies of speech therapy coverage helps bolster all areas of the revenue cycle. Verifying insurance benefits and obtaining accurate information are important steps in the revenu... [ Read More ]
Coding E/M in the ED, Part 2
September 01, 2023
Questions about 2023 evaluation and management guidelines in the emergency department answered. AAPCs HEALTHCON May 2124 offered several sessions on the subject of evaluation and management EM coding ... [ Read More ]
A New Way to Audit Incident-to Services
September 01, 2023
Proper documentation and accurate billing are essential aspects of healthcare compliance. The Centers for Medicare 38 Medicaid Services CMS sets guidelines and regulations to ensure adherence to reimb... [ Read More ]
View All News
COVID-19 ADMINISTRATION CODE
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 ]
Inpatient pediatric consults
[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 ]
Help with infusion codes
[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 ]
Auditor states drug ordered as IV over 2 minutes must have a doc stop time?
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 ]
Can anyone share some clarify 99211 vs 98960
[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 ]
Premedications before chemotherapy infusion
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 ]
64400 and J2001
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 ]
xgeva
[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 ]
TTE with Contrast
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 ]
Coding Contrast for Echo
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 ]
View All