Oncology & Hematology Coding Alert

Question: Which CPT codes should I report for the following case? " 71 minute Leucovorin infusion " 5 minute push of 5FU during Leucovorin infusion " After the push and infusion, pump initiation for a 46 hour 5FU continuous infusion. Colorado Subscriber Answer: Your claim should include the following: " 96409 -- Chemotherapy administration; intravenous,push technique, single or initial substance/drug " +96367 -- Intravenous infusion, for therapy,prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion, up to 1 hour (List separately in addition to code for primary procedure) " 96416 -- Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump. Rationale: Your first step is to choose the initial code that describes the key reason for the visit. In this case, 5FU is a chemotherapy drug and Leucovorin is not, so you should home in on the 5FU services. [...]