CPT^® 96450, Under Other Injection and Infusion Services

The Current Procedural Terminology (CPT^®) code 96450 as maintained by American Medical Association, is a medical procedural code under the range - Other Injection and Infusion Services.

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Summary

The provider administers a chemotherapy drug into the patient’s central nervous system, or CNS, including the spinal cord. The procedure includes a spinal puncture, which is when the provider inserts a needle into the spinal canal in the lumbar, or low back, region.

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Z51.11 with E/M Visits

Hi everyone, I work in at a pediatric hospital in ProFee. We are having some debate on this code as it pertains to our coding. We code for E/Ms and only procedures like 96450 and bone marrow aspirat... [ Read More ]

Billing Inpatient Hospital Visit with Chemo LP 96450

[QUOTE="Andrschery, post: 448178, member: 122"]Was something else being coded? Insertion of catheter, Fluor0 guidance, the lumbar puncture itself? If so you would need a 59 modifier or X (EPSU) modi... [ Read More ]

Billing Inpatient Hospital Visit with Chemo LP 96450

Thanks for responding. No nothing else is being billed, only CPT 99222 and 96450 which have a CCI edit and 96450 is the column 2 code. I thought it was inappropriate to use modifier 59 or X modifier... [ Read More ]

Billing Inpatient Hospital Visit with Chemo LP 96450

[QUOTE]Hi, Does anyone know how to bill an inpatient hospital visit (e.g., 99222, 99232) with a Chemo Lumbar Puncture 96450. There is a CCI edit for 96450 when billed with any inpatient E/M codes. C... [ Read More ]

Billing Inpatient Hospital Visit with Chemo LP 96450 96450 lumbar puncture

Hi, Does anyone know how to bill an inpatient hospital visit (e.g., 99222, 99232) with a Chemo Lumbar Puncture 96450. There is a CCI edit for 96450 when billed with any inpatient E/M codes. Column ... [ Read More ]

77002 and 77003

Report [URL="https://www.encoderpro.com/epro/cptHandler.do?_k=101*77002&_a=view"]77002[/URL] in conjunction with [URL="https://www.encoderpro.com/epro/cptHandler.do?_k=101*10022&_a=view"]10022[/URL], ... [ Read More ]

Billiing 77003 with 96450

Prior to 2017 77003 was not an add on code and we could bill the 77003 with the 96450. This year the 77003 is considered an add on code and we are getting denials when the 77003 is billed with the 96... [ Read More ]

96450

Can we bill the professional service 96450 in a hospital setting? I cant find anywhere in CMS where we can or cant bill it. Also if we cant bill it is there some other charge we may use instead?... [ Read More ]

96450 & 62270

In what situation can 96450-intrathecal chemo admin. "requiring and including spinal puncture", be billed during the same session (with -59) as 62270-diagnostic spinal puncture (obtaining specimens fo... [ Read More ]

lumber puncture with hospital visit

[QUOTE="kathyle, post: 338511, member: 294446"]Yes, chemo performed. For what you advised, I should had billed 99233 w/modifier 25 and 96450? Thank you very much for your response.:o[/QUOTE] Yes, I ... [ Read More ]

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