CPT^® 96411, Under Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration

The Current Procedural Terminology (CPT^®) code 96411 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 add–on procedure, the provider administers an additional chemotherapy drug using an intravenous push technique. Use this code for each additional drug administered.

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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 ]

Avastin - Leucovorin

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

Billing J9201 Gemcitabine and Admin Code 51720 to Medicare

I’m reaching out to see if there is any additional help or resources regarding the Gemcitabine J9201 and billing to Medicare for bladder cancer. We are currently using this drug and billing with the... [ Read More ]

96411 and Humana

Hello, I am working on a Medical Record Review Dispute and Humana does not agree with our use of 96411. I'm assuming this is because the nurse documented 17 minutes for this. This medication was orde... [ Read More ]

Modifiers and add on codes

The Introduction in the CPT Manual discusses Add-on Codes and 51 modifier (AMA 2019 edition, page xv). Sorry but I don't have it available to copy/paste. I'm not aware of it being documented anywher... [ Read More ]

Billing Chemotherapy Drugs

I have 2 questions I would like some clarity on based on correct billing guidelines for Chemotherapy drugs: 1. Is there a payable HCPCS chemotherapy drug list anywhere? I have searched high and low. ... [ Read More ]

Chemotherapy Coding and billing Administrative and HCPC Codes

When billing a chemotherapy claim do I stager the Administration code with the corresponding HCPC Code or can I list all J codes first then Administration codes after? Also do the HCPC Codes need to b... [ Read More ]

Administration coding

[b]help[/b] [QUOTE="aarnold702, post: 386153, member: 317560"]Why would you code 96411 in case one but not case 2? I would code 96413, 96415 x 2, 96411 for both cases. I just passed by certification ... [ Read More ]

Administration coding

[b]Administration Coding[/b] If the two drugs are mixed together in the same bag, it's not concurrent (cannot bill 96368). The 96368 means a separate drug in a separate bag ran at the same time & yo... [ Read More ]

Administration coding

Why would you code 96411 in case one but not case 2? I would code 96413, 96415 x 2, 96411 for both cases. I just passed by certification last month, so I'm not really sure. Any rationale will help me ... [ Read More ]

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