Results 1 to 3 of 3

96368 with 96366

  1. #1
    Augusta, GA
    Question 96368 with 96366
    Medical Coding Books
    Can you bill a 96368 (1unit) and a 96366 (1unit) for the concurrent infusion of Leucovorin which is given over 2 hours?

  2. #2
    Nashville AAPC Chapter
    Yes. We add a 59 modifier to the 96368 as insurance companies bundle it into the chem-infusion codes.

    As long as the times overlap the times that the chemo is given, and the route is different than the chemo - meaning the drug is going into a different hole into the patient. This is a concurrent infusion. Usually you will see it documented similarly like this.

    5FU 12:00pm start 14:15pm stop (96413, 96415)
    Leucovorin 12:00pm start 14:15pm stop (96368, 96366)

    If either infusion ran to 14:31, then an additional hour could be added 96415 w. chemo, 96366 for the Leucovorin.

    Hope that helps.

  3. #3
    Augusta, GA
    Thumbs up
    Very helpful, that is what I thought, but the CPT book is confusing when it states under 96368 "report 96368 in conjunctino with 96365, 96366, 96413, 96415, 96416" but under 96366 in states "report 96366 in conjunction with 96365, 96367"

    Thank you for clearing it up for me

Similar Threads

  1. 96368 concurrent infusion - Patient receives
    By esaathoff in forum Hematology/Oncology
    Replies: 1
    Last Post: 11-16-2015, 10:32 AM
  2. 96368 confusion
    By ValerieSanti in forum Outpatient Facilities
    Replies: 1
    Last Post: 11-15-2015, 04:55 PM
  3. 96368 concurrent infusion - Could someone please
    By mnco in forum Hematology/Oncology
    Replies: 9
    Last Post: 10-10-2014, 05:35 AM
  4. cpt 96368
    By ptrautner in forum Emergency Department
    Replies: 0
    Last Post: 11-11-2010, 08:56 AM
  5. Can 96366 be reported with 96368?
    By lpetrova in forum Hematology/Oncology
    Replies: 4
    Last Post: 05-04-2010, 07:24 PM

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.