CPT^® 96366, 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 96366 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 an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.

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Forum

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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 ]

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

[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 ]

Tysabri Infusion for Multiple Sclerosis denied

[QUOTE="hcg, post: 234089, member: 119738"] SLITTLES - Thank you for the information, at least I know Aetna pays for 96365 & 96366 on Tysabri. [/QUOTE] thank you, i agree, it's not chemo, it's a biolo... [ Read More ]

Infusions

Hi everyone I was asked to reach out to other gastro coders who do infusion coding. What infusion codes (for Entyvio) are you using, and getting paid for, when billing Medicare and United? We were b... [ Read More ]

COVID-19 ADMINISTRATION CODE

My provider also does a normal saline with the covid infusion via IV. Should I be billing for that separately or is it wrapped in the M0243 cost? Can I bill for all these? [LIST] [*]RATE FLOW REGULAT... [ Read More ]

Infusion Question

[QUOTE="shanamarie, post: 494898, member: 394418"] We have a patient that the nurses are wanting to combine 2 infusion services into one visit. The patient would have IVIG (J1561) run over 2.5-3hours... [ Read More ]

Infusion Question

We have a patient that the nurses are wanting to combine 2 infusion services into one visit. The patient would have IVIG (J1561) run over 2.5-3hours, which is typically billed as 96365/96366. Then t... [ Read More ]

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