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.

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CPT® Code Range 96401- 96549

September 25, 2023
Former MedPAC commissioner cites agencies high profit margins. Home health agencies HHAs have been making a lot of noise to push back on the proposed rate cuts for 2024 and a Senate hearing has added ... [ Read More ]
September 22, 2023
Code descriptor revisions are about time. After the extensive changes CPT made to the evaluation and management EM codes and guidelines over the last few years youll be relieved to know that the EM ch... [ Read More ]
September 20, 2023
DOCUCON provides answers and solutions for CDI specialists and those considering a CDI career. AAPC concluded its clinical documentation improvement CDI conference DOCUCON today. Healthcare business p... [ Read More ]
September 20, 2023
Floridabased company admits to improper billing for oxygen equipment. Lincare Holdings Inc. a Floridabased wholly owned subsidiary of German multinational chemical corporation Linde plc has agreed to ... [ Read More ]
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 ]
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 chemo admin codes are the range of 96401 thru 96549. They are in the CPT book right after your regular infusion codes.... [ 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 ]