AMA CPT® Assistant - 2004 Issue 8 (August)
Medicine (August 2004)
August 2004 page 11c Coding Consultation: Questions and Answers Medicine, 96410, 96412 (Q&A) Question What are the appropriate codes to report for a chemotherapy administration via IV infusion technique with a total duration time of 90 minutes? AMA Comment From a CPT coding perspective, if the total administration time is 90 minutes, then code 96410 , Chemotherapy administration, intravenous; infusion technique, up to one hour, should be reported for the first hour. Code 96412 , Chemotherapy administration, intravenous; infusion technique, one to 8 hours, each additional hour (List separately in addition to code for primary procedure), should be reported appended...
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Article Overview
This premium article explains a coding consultation from August 2004 focused on chemotherapy administration by IV infusion in a CPT context. It is useful for coders, billers, and revenue cycle staff who work with infusion services and time-based procedure reporting. The article presents a question-and-answer format and discusses general coding guidance for reporting administration time and associated modifier use.
Why This Topic Matters
Infusion and chemotherapy administration coding depends on careful interpretation of time-based reporting conventions and modifier application. Articles like this help coding professionals understand the documentation and reporting considerations relevant to CPT procedure coding in outpatient and physician services settings.
Article Sections
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Coding Consultation: Questions and Answers
A question-and-answer discussion on chemotherapy administration coding in a CPT context. It focuses on time-based reporting and related modifier considerations for infusion services.
What You Will Learn
- How the article frames a coding question about chemotherapy administration by IV infusion
- What general types of CPT reporting guidance are discussed for time-based infusion services
- How modifier use is addressed in the context of chemotherapy administration reporting
- How the article’s Q&A format is organized for coding consultation purposes
Who Should Read This
- Certified professional coders
- Medical billers
- Revenue cycle staff
- Oncology and infusion coding specialists
- Physician practice administrators
Codes Discussed
Modifiers Discussed
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