AMA CPT® Assistant - 2007 Issue 5 (May)
Drug Administration Services - Part 1 of 3 (May 2007)
May 2007 pages 3-4 Coding Communication:Drug Administration Services - Part 1 of 3 A November 2005 CPT Assistant article introduced the 2006 drug administration codes, offering a general understanding of the integral use of the three categories: prolonged intravenous (IV) hydration infusions; injections (therapeutic, prophylactic, or diagnostic)and intravenous (IV) infusions (less than 15 minutes); and chemotherapy administration. This article will discuss reporting drug administration when it represents an independent service or a combination of technique(s) or type(s) of service(s). Parts 2 and 3 of this series will feature clinical examples on appropriate reporting of drug administration codes. One Initial...
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Article Overview
This premium CPT Assistant article covers foundational drug administration reporting concepts for 2007, including how to think about initial, subsequent, concurrent, and sequential services across the major administration categories. It also addresses route-of-administration considerations, distinctions among service types, and how CPT drug administration reporting relates to HCPCS drug coding and payer-specific coverage practices. The article is aimed at coding professionals, billers, and compliance staff who work with infusion and injection services.
Why This Topic Matters
Drug administration coding is highly dependent on service type, timing, route, and payer context. This article helps readers understand the broader framework used to report these services accurately and consistently.
Article Sections
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May 2007 pages 3-4
Introduces the topic and frames the article as part of a multi-part series on drug administration reporting. It also references the prior CPT Assistant discussion and upcoming clinical examples.
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One Initial Service
Discusses the concept of an initial service within a drug administration encounter. The section focuses on how service hierarchy is considered across infusion and injection reporting.
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What Is the Service?
Explains how multiple administrations are grouped and how service sequencing is described in the CPT framework. It also addresses concurrent and subsequent services in general terms.
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Coding Tip
Provides a brief clarification on how the general service-group concepts relate to administration categories. The section includes additional context about access sites and service relationships.
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What Is the Route of Administration?
Reviews the importance of identifying the administration route and technique when selecting codes. The section discusses broad route categories and timing-related considerations.
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What Substances or Drugs?
Addresses the relationship between chemotherapy administration reporting and specific drug categories. The section also touches on HCPCS drug coding, payer variation, and examples of substances discussed by the source.
What You Will Learn
- How the article frames drug administration reporting within CPT guidance
- How service hierarchy is discussed for infusion and injection encounters
- How route of administration affects coding considerations
- How the article connects CPT administration services with HCPCS drug coding
- What general payer and coverage issues are noted in relation to drug administration reporting
Who Should Read This
- Medical coders
- Billing professionals
- Compliance staff
- Infusion center staff
- Hospital outpatient coding teams
Codes Discussed
Code Ranges Discussed
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