Oncology & Hematology Coding Alert
Do Not Submit 96368 for Infusions in Same Bag
Question: Our physician administered decadron and aloxi as an intravenous piggy back infusion during an encounter for chemotherapy. The infusion lasted 19 minutes. Can we submit code 96368 for this infusion?
Answer: It is incorrect to submit code +96368 (Intravenous infusion, for therapy, prophylaxis, or diagnosis [specify substance or drug]; concurrent infusion [List separately in addition to code for primary procedure]) when drugs are combined in the same bag. You can best report the infusion of this single infusate with one unit of +96367 (Intravenous infusion, for therapy, prophylaxis, or diagnosis [specify substance or drug]; additional sequential infusion of a new drug/substance, up to 1 hour [List separately in addition to code for primary procedure]). Note that +96367 is an add-on code and you can submit this code along with the initial chemotherapy administration code which is the main reason for the encounter.
Oncology & Hematology Coding Alert
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