CPT^® 96375, 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 96375 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

Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the substance or drug for prevention, diagnostic, or therapeutic purposes.

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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: 510968, member: 134816"] If the Midazolam, Diphenhydramine, Zofran, and Phenergan were given IV, but not stop time, would it be appropriate to allow IV push 96375? [/QUOTE] T... [ Read More ]

Infusion Coding Question: non-facility

If the Midazolam, Diphenhydramine, Zofran, and Phenergan were given IV, but not stop time, would it be appropriate to allow IV push 96375?... [ Read More ]

BILLING 96374 WITH 96413 AND 96365

[QUOTE="simqueen, post: 508369, member: 44884"] CPT guidelines note that if you have one IV site, you can only have one initial service. So, if you have 96413 or 96365 for an infusion, 96374 is off ... [ Read More ]

BILLING 96374 WITH 96413 AND 96365

[QUOTE="mmathewscpc, post: 508338, member: 59394"] ok, 96413 and 96365 are initial infusion hour codes, 96374 is initial push of medication in an infusion, not the first hour....and 96375 is an add on... [ Read More ]

BILLING 96374 WITH 96413 AND 96365

ok, 96413 and 96365 are initial infusion hour codes, 96374 is initial push of medication in an infusion, not the first hour....and 96375 is an add on code, it's the additional push of same or differen... [ Read More ]

BILLING 96374 WITH 96413 AND 96365

You cannot bill 96374 with 96413 as they are initial codes per the AMA guidelines, you would need to bill 96375 with the 96413.... [ Read More ]

How do I bill this Chemo Visit.

THERE IS ALWAYS A MISTAKE IN BILLING THE 96374 AND 96375, THE 96374 IS THE INITIAL PUSH OF MEDICATION, THE 96375 IS ADDITIONAL PUSH OF MEDICATION.... [ Read More ]

Concurrent IV Push

96375 is “sequential” by CPT definition, so I am having a hard time understanding how it would be acceptable to use for an IV push of a different substance at the same time as 96374. Can you help... [ Read More ]

Concurrent IV Push

per CPT guidelines goes by heirarchy: two meds same time 96374, 96375 for these code sets time doesn't make the code it is drugs IV Pushed concurrent would only apply with infusion of another substan... [ Read More ]

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