Medicine: Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy (Q&A) (December 2018)

December 2018 page 9a Medicine: Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy Question: Is it correct to report code 96376 for a subsequent infusion of the same medication that is administered within 25 minutes of an initial 35-minute infusion that was initially reported with code 96365? The subsequent infusion was pushed 16 minutes after the initial infusion. Answer: No, administration of the same drug in the same intravenous (IV) site 30 minutes or less apart from the initial administration would not be reported separately. Based on the instructional parenthetical note for code 96376, which states, "Do not...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a short CPT® Assistant question-and-answer piece focused on medicine code reporting for hydration, therapeutic, prophylactic, diagnostic injections and infusions, and chemotherapy. It addresses a timing-based reporting question involving an intravenous administration scenario and references the relevant instructional note. The article is useful for coders and billers working with infusion and injection services who need to understand how the guidance applies in practice.

Why This Topic Matters

Timely and accurate reporting of infusion and injection services depends on understanding CPT® instructions and related parenthetical notes. This Q&A helps coders identify when a repeat administration should or should not be reported separately.

What You Will Learn

  • How this CPT® Assistant Q&A frames a repeat intravenous administration reporting question.
  • What category of CPT® guidance the article discusses.
  • How timing considerations are addressed at a high level in the accompanying note.
  • Which type of medicine service setting the question relates to.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Revenue cycle professionals
  • Compliance teams
  • Physician practice staff

Codes Discussed


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