AMA CPT® Assistant - 1996 Issue 12 (December)

Medicine, 96410, 96412 (Q&A) (December 1996)

December 1996 page 10c Coding Consultation Medicine, 96410, 96422, 97150 (Q&A) Question What is the correct method to report chemotherapy infusion? CPT codes 96410 states "up to one hour." CPT code 96412 states "one to 8 hours, each additional hour." If a patient receives a three-hour treatment, how would I code this? Would I report both CPT code 96410, plus the additional units of 96412? (This is also true for CPT codes 96422 and 96423.) AMA Comment When reporting a greater-than-one-hour chemotherapy (intravenous) treatment, report the first hour of treatment with CPT code 96410. CPT...

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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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