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CPT® 96402, Under Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration

The Current Procedural Terminology (CPT®) code 96402 as maintained by American Medical Association, is a medical procedural code under the range - Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration.

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Summary

In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.

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Have a question about CPT Code 96402 ? Start a discussion here
Recently insurance is denying CPT 96402 with ICD-10-CM C61
Recently we have been getting denial for CPT 96402 when billed with ICD-10-CM C61 as diagnosis incorrectly coded per ICD 10 manual per insurance.... [ Read More ]
Administration of Hormone as Chemotherapy
[QUOTE="rachaelwilleford, post: 506320, member: 572125"] Faslodex is considered a chemotherapy drug with the administration code 96402. However Lupron is considered a supportive drug, not chemotherap... [ Read More ]
Administration of Hormone as Chemotherapy
Faslodex is considered a chemotherapy drug with the administration code 96402. However Lupron is considered a supportive drug, not chemotherapy, because of the class of drug. Administration code is ... [ Read More ]
Coding disagreement with a provider
I agree with Sharon. If it is a black & white issue and the physician is unwilling to listen after you explain, I would not want to work for that physician. Getting paid is not an indication that y... [ Read More ]
Coding disagreement with a provider
I often have an argument with my provider about the codes. For example, she wants to bill CPT 96402 for humira injection with Office visit and I disagree. I explained that this code is for the IV i... [ Read More ]
cpt 96402
Medicare says, "Codes 96401-96402, 96409-96425, 96521-96523 are not intended to be reported by the individual physician or other qualified health care professional in the facility setting. " I am con... [ Read More ]
Coding for Zoladex implantation?
The correct way to bill this is with a 96402 for the injection... [ Read More ]
Billing for Admin of Lidocaine
You can bill it. You just need a modifier to show 96402 is distinct from 96372. Try using -59.... [ Read More ]
Billing for Admin of Lidocaine
Hello, I have been asked if a pt comes in for a hormonal injection (96402) can we bill a 96372 for the lidocaine injected prior to that drug administration. I'm think no and that it's bundled. Though... [ Read More ]
96402
96402 is the correct injection code for J9217 Eligard or Prolia.... [ Read More ]
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