CPT^® 96367, 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 96367 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 additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.

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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 ]

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 ]

Billing E0781 DME- oncology hematology office

There is so much different information out regarding the billing and use of E0781. Most posts on the forum are years old. We are an oncology practice administrating several infusions in the office, as... [ Read More ]

COVID-19 ADMINISTRATION CODE

[QUOTE="Savmorton, post: 489269, member: 369378"] But I still can code a 96365 or 96367 with it right for an infusion [/QUOTE] The description is "Intravenous infusion, casirivimab and imdevimab [B][I... [ Read More ]

COVID-19 ADMINISTRATION CODE

[QUOTE="SharonCollachi, post: 489267, member: 654943"] M0243, intravenous infusion, casirivimab and imdevimab includes infusion and post-administration monitoring Correct. That means you don't charg... [ Read More ]

Avastin - Leucovorin

[QUOTE="jenpham, post: 477786, member: 173686"] avastin 96413, Leucovorin: 96367, 5FU: 96411 [/QUOTE] THank you so much, but according to Medicare under JF: [ATTACH type="full"]4734[/ATTACH]... [ Read More ]

J1100 Decadron with UHC and BCBS bundling denial for admins.

UHC has published a policy effective 8/9/2020 which lists J1100 as a not covered service. A phone call to customer service advised our A/R reps that we could apply a modifier to this code for payment... [ Read More ]

Avastin - Leucovorin

avastin 96413, Leucovorin: 96367, 5FU: 96411... [ Read More ]

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