Oncology & Hematology Coding Alert

You Be the Coder:

Are 3 Drugs in 1 Bag Concurrent?

Question: The patient presents for chemotherapy (57-minute infusion). Staff mixed three non-chemo drugs in a single bag and administered them during a 45-minute infusion prior to chemotherapy. How should I code this? I'm confused about whether I should report concurrent infusion code +96368. California SubscriberAnswer: Your "initial" code for this case should be 96413 (Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug). This code describes up to an hour of chemotherapy infusion.For the three drugs mixed in a single bag and infused subsequent to 96413, you should report a single 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]).You should not report the concurrent infusion code for this case. The concurrent infusion code is appropriate for multiple bags infused [...]
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