Medicine: Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy (Q&A) (September 2018)

September 2018 page 15 Medicine: Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy Question: If the same medication is infused twice during the same encounter through the same site, should the total time be considered when reporting code 96366 , Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)? Answer: No, multiple infusions prepared individually are recognized and reported as individual administrations. When reporting multiple infusions on the same date of service, the initial code should be selected. When administering multiple infusions, injections, or combinations...

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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 September 2018 CPT Assistant Q&A discusses general reporting concepts for hydration, therapeutic, prophylactic, diagnostic injections and infusions, and chemotherapy. It focuses on same-encounter infusion timing, multiple administrations of the same drug or substance, and the role of separate IV access sites in facility reporting. The article is relevant to coders, billers, auditors, and compliance staff working with infusion and injection services in outpatient settings.

Why This Topic Matters

It helps readers understand the scope of guidance being discussed for infusion reporting and same-day administration scenarios, which are common areas of coding review and compliance attention.

Article Sections

  1. September 2018 page 15

    A short Q&A page from CPT Assistant covering reporting topics related to infusion services and same-day administration scenarios.

What You Will Learn

  • What the article discusses about repeated infusion administration on the same date of service
  • How the guidance frames reporting when multiple administrations occur through the same access site
  • What general topic areas are covered in the Q&A for infusion and injection services
  • Why separate IV site access may affect reporting considerations

Who Should Read This

  • Medical coders
  • Outpatient facility billers
  • Compliance auditors
  • Revenue cycle staff
  • Coding educators

Codes Discussed

Modifiers Discussed


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