This question pertains to an outpatient hospital setting: We are seeing many encounters for prolonged chemotherapy infusion requiring the use of a pump but only lasting 2-3 hours max. The most appropriate CPT code seems to be 96416 but that code specifies that the infusion should be "more than 8 hours". Is it ok to use Modifier 52 for reduced services in this instance?

We have considered using code 94613 with 96415 as an add-on for each additional hour but these codes do not include the use of "a portable or implantable pump".

Any help anybody can offer would be greatly appreciated,