CPT^® 96368, 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 96368 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).

Additional/Related Information

Tabs

Summary

The provider administers an intravenous infusion or infusions of multiple medications or substances concurrently with another infusion to prevent, treat, or diagnose a condition or disease.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 96368 ? Start a discussion here

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 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 ]

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 ]

Concurrent Infusion 96368 (Different IV Site - Not Meeting Medical Necessity to Report Second Initial 96365) i&i i/i infusion coding

I/I Coding Scenario: [B]2 IV sites (LT & RT antecubital) Note: [/B] For the second I/I site (right antecubital), the provider did not document the reason for second iv site placement which is requir... [ Read More ]

Concurrent Leucovorin

Question about Leucovorin when it's given concurrent with another drug (usually Eloxatin or Cisplatin) the admin used to be 96368 but with jurisdiction F Medicare guidelines changing and there not bei... [ Read More ]

Hydration and Magnesium

There was not chemo before or after so I will charge 96360 x 1, 96361 x 3 and then the Magnesium solution as 96368 ran concurrently. Thank you for your help I truly appreciate your feedback!... [ Read More ]

Concurrent infusion, same drug, different strength.

A patient comes to the ED and has Vanco 1000 mg infused from 11:27 to 1:18 and Vanco 750 mg infused from 11:28 to 12:45. Same site. Is this coded as one drug to two? 96365 or 96365 and 96368. Than... [ Read More ]

96368(concurrent Infusion) confusion

Since 96368 is an add-on code, it requires a primary or initial administration code so I interpret that instruction as being the [U]primary[/U] admin codes that are required on the claim for 96368 to ... [ Read More ]

96368(concurrent Infusion) confusion

[QUOTE="trarut, post: 456861, member: 7736"] I would report 96367 for bag 1 and 96368 for the bag 2 being run concurrently, assuming the administration time of each bag meets the requirements to repor... [ Read More ]

View All