AAPC - Back to school
Results 1 to 3 of 3

Thread: Help with 96416/cytoxan over 3 hours

  1. #1

    Default Help with 96416/cytoxan over 3 hours

    AAPC: Back to School
    Pt is receiving chemo in the clinic, including cytoxan x3 hours. The pt is then sent home with portable pump x2: first pump is for cytoxan which is to run over 3 hours and the second pump is for hydration which will run for 24 hours.
    The clinic time infusion is being coded with 96413/96415 as documented, but for the pump infusion at home---since the chemo itself is not running for 8+ hours, what are the best codes to use?

  2. #2
    Join Date
    Apr 2007
    Nashville, TN


    I think it would depend on whether the pump is being initiated or refilled. The code description for initiation (96416) specifically says it has to be >8 hours, but 96521 just says refill and maintenance of portable pump.

    So I would bill the 96413, 96415x2 for Cytoxan and 96521 for pump refill.

    Len Hales, RN, BSN, CPC

  3. #3


    Thank you Len. That was what I was leaning toward.

Similar Threads

  1. 96416
    By donn999 in forum Hematology/Oncology
    Replies: 3
    Last Post: 10-28-2015, 05:04 PM
  2. Cytoxan
    By roby0705 in forum Hematology/Oncology
    Replies: 1
    Last Post: 05-19-2014, 09:50 AM
  3. 96416..Please help!
    By sward23 in forum Hematology/Oncology
    Replies: 7
    Last Post: 10-19-2011, 01:31 PM
  4. Admin of cytoxan
    By ASH527 in forum Hematology/Oncology
    Replies: 3
    Last Post: 04-01-2011, 01:34 PM
  5. Cytoxan code changing?
    By lynnmc79 in forum Hematology/Oncology
    Replies: 2
    Last Post: 01-03-2011, 08:42 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.