CPT^® 96365, Under Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration)

The Current Procedural Terminology (CPT^®) code 96365 as maintained by American Medical Association, is a medical procedural code under the range - Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration).

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Summary

The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.

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Blood draw during Infusion

During the Infusion procedure if blood is drawn for testing purpose, then can we bill 36415 or would that be considered inclusive with Infusion admin codes (96413/96365).... [ Read More ]

A9153 and 96361

patinet was got IVF and Multivitamine at the same time in her severe fatigue, R63.0 Anorexia (E86.0) Dehydration. other staffs billed A9153 and 96361 but it was denied. instead of 96360 and ... [ Read More ]

Infusion and Nerve Block billing

Hey friends! I recently joined the AAPC so this is new to me. Hope I am doing this correctly! When billing infusions, can you bill 96365 and 96374 together in the same encounter? Does anyone have e... [ Read More ]

Vent sedation in ED?

[QUOTE="monabuck, post: 512726, member: 618684"] Sorry, I've got a ton of stuff going on at the same time and I wasn't clear at all....It's facility charging, and the question is if we charge the admi... [ Read More ]

Vent sedation in ED?

[QUOTE="thomas7331, post: 512720, member: 5404"] I may be misunderstanding your question, and I'm not familiar with term 'I&I' that you're using. But assuming you are charging for the facility and no... [ Read More ]

Billing for Chelation Therapy

Hello, I work for a family practice, and we are starting to bill Medicare for Chelation Therapy. I found some HCPCS codes (J0470, J0600, J0895, J3520) for it. But should I bill the J code by itself o... [ Read More ]

Injection / Infusion

This is an overnight chart. Same visit. I understand the hierarchy, PB higher than Push. I am questioning the 5/10 RA - because it is a different site where a PB was not done - should it be a 96374... [ Read More ]

Infusion Coding Question: non-facility

The other two meds are a concurrent with the initial. Same start and stop times. 96368 concurrent infusion of [I]substances[/I]- is an add on code and may only be billed once per date of service thre... [ Read More ]

Infusion Coding Question: non-facility

[QUOTE="tmorgan808, post: 510965, member: 134816"] Thank you Thomas. It is through one IV line. I am not able to talk to the nursing staff. I am coding from the insurers prospective on whether the doc... [ Read More ]

Infusion Coding Question: non-facility

I have a question about infusion coding. The MAR has the following (I made the chart to make it easy to read): [ATTACH type="full"]5887[/ATTACH] I am confused on how to code it. The initial would be ... [ Read More ]

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