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Thread: Same drug pushed twice

  1. #1

    Default Same drug pushed twice

    AAPC: Back to School
    If we pushed 5FU twice during a chemo treatment do we code 96411 or 96411 X's 2. I thought it should be 96411 since it is not a new substance. Any help would be appreciated.
    Dee, CPC
    Tn Cancer Specialists
    Knoxville, TN

  2. #2

    Default 2 pushes same drug

    Yes, I believe you are correct. the code can only be billed once per drug.

  3. #3

    Default 5fu

    If the drug was the only drug given that day and it was administered twice ( two seperate times.) Then you could bill 96409 IV push initial and then bill 96411- IV each additional push. 96411 is not an initial code therefore it cannot be billed 96411x2 . If other chemo was done then yes it can be billed twice( administration) like that but add the dosage together.

    Hope this helps,

  4. #4
    Join Date
    Apr 2007
    Bettendorf, Iowa


    I agree with llucas. If there was other chemo given then 96413 + 96411x2. If it was just 5fu then 96409 + 96411.
    Ruth Long CPC,CHONC

  5. #5


    Is it the same concept with 96417?

    A chemo drug (non-initial) was infused at two separate times during the SAME encounter. Once from 1:00-1:30 (30 minutes) and then from 2:43-3:15 (32 minutes). Would it be correct to bill 96417 OR 96417x2?

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