December 2009 page 14
Bonus Feature:Medicine: Hydration, Therapeutic Infusion Services
Question: For facility reporting, three infusions of the same
drug are administered having the following start- and stoptimes: 11:00 am-12:13 pm;
12:15 pm-1:00 pm, 1:01 pm-1:15 pm. When choosing the appropriate codes, should the total
infusion time be considered or do these represent three separate infusion services? Ann
Waters, RHIT, CCS
Answer: For both physician and reporting purposes, when multiple
administrations are individually prepared, these services are recognized and reported as
individual administrations. In this circumstance, code choice is not based on the total
time of all administrations performed...
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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 explains a billing and coding question about reporting multiple separately prepared infusion administrations in a facility setting. It is aimed at coders, billers, and reimbursement staff working with medicine infusion services and CPT reporting guidance. The discussion addresses how the scenario is evaluated, what general timing considerations are involved, and which CPT infusion service categories are implicated.
Why This Topic Matters
Infusion reporting can change depending on whether administrations are treated as separate services and how timing is evaluated. Understanding this guidance helps support consistent CPT-based reporting for facility and professional claims.
Introduces a coding question about reporting multiple infusion administrations in a facility context. The section focuses on general timing, sequencing, and reporting considerations within CPT infusion services.
What You Will Learn
How the article frames reporting for multiple infusion administrations
The general role of timing and sequential administrations in infusion reporting
Which CPT infusion service categories are discussed in the Q&A
How the guidance applies in a facility reporting context
Who Should Read This
Medical coders
Billing specialists
Charge capture staff
Revenue cycle professionals
Compliance staff
Codes Discussed
CPT: 96365
CPT: 96367
CPT: 96366
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