Review concepts of the drug administration hierarchy

February 16th, 2016

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article reviews the CPT drug administration hierarchy and how it applies to facility-based intravenous drug administration coding. It covers the major service categories, the distinction between initial and non-initial services, and broad concepts such as concurrent and sequential administration. The piece is aimed at coding professionals who need a high-level understanding of how the hierarchy affects code selection in facility settings.

Why This Topic Matters

Drug administration coding can change based on service type, order of administration, and whether the setting is a facility or physician office. Understanding the hierarchy helps coding professionals recognize how the CPT structure organizes hydration, therapeutic, prophylactic, diagnostic, and chemotherapy-related services.

What You Will Learn

  • How CPT organizes drug administration services into major categories
  • How the facility drug administration hierarchy affects reporting
  • The difference between initial, concurrent, and sequential service concepts
  • Why setting and service type matter in IV administration coding
  • How broad parenthetical guidance relates to the hierarchy

Who Should Read This

  • Medical coders
  • Coding auditors
  • Facility coding staff
  • Revenue cycle professionals
  • Compliance staff

Codes Discussed

  • CPT: 96360
  • CPT: 96361
  • CPT: 96365
  • CPT: 96379
  • CPT: 96401
  • CPT: 96549
  • CPT: 96368

Code Ranges Discussed

  • CPT: 96360-96361
  • CPT: 96365-96379
  • CPT: 96401-96549

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