AMA CPT® Assistant - 2018 Issue 12 (December)

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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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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