CPT^® 99602, Under Home Infusion Procedures and Services

The Current Procedural Terminology (CPT^®) code 99602 as maintained by American Medical Association, is a medical procedural code under the range - Home Infusion Procedures and Services.

Additional/Related Information

Tabs

Summary

The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for each additional hour of the visit after the first two hours.

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 99602 ? Start a discussion here

High Dose Flu Shots

99602 is a home infusion code which is not for flu shot administration - do you mean 99402? That code is not covered by Medicare for any diagnosis. What LCD are you looking at? I'm not aware of an ... [ Read More ]

High Dose Flu Shots

We are getting an LCD edit for 99602 and we have a Z23 attached to the claim but it is still throwing an edit. Any thoughts on what diagnosis codes we should use? We can't find it on the LCD list.... [ Read More ]

HCPC/CPT modifier combinations

Are S9379-SD & 99602-SS valid HCPCS & CPT code/modifier combinations?... [ Read More ]

Private Duty Nurse for Pediatrics T1000

S9123 Nursing care, in home; by registered nurse, per hour (use for general nursing care only, not to be used when CPT codes 99500-99602 can be used). 99500-99602 are services by non-physicians render... [ Read More ]

Infusion therapy

[QUOTE="myoung1715@gmail.com, post: 460528, member: 586897"] Does anyone have experience with coding/billing infusion treatments? Is there any other codes to used besides just the 96413,96415, 99601,... [ Read More ]

Infusion therapy

Does anyone have experience with coding/billing infusion treatments? Is there any other codes to used besides just the 96413,96415, 99601, 99602? I feel like there is some addtional codes I should b... [ Read More ]

Home infusion therapy IVIG

If an IVIG infusion is ordered as a 2 day infusion for 4 months, do you bill 99601 on Day #2 of the infusion which is usually the following day? Or would you continue to bill 99602 (each add'l hour) f... [ Read More ]

Billing S9500 rejected by Medicare clearinghouse

99601/99602 are for home visits for infusion, which would not apply since we are only providing the medications and supplies for self-infusion by the patient.... [ Read More ]

Billing S9500 rejected by Medicare clearinghouse

Medicare will not accept S codes even if its not covered. I'm shocked a Medicare supplement would accept codes that are not accepted by Medicare. Aren't there regular CPT codes you can bill such as 99... [ Read More ]

5-FU and Portable Pump Billing

[b]Billing DMERC and Medicare?[/b] [QUOTE="OCD_coder, post: 314990, member: 16463"]Chemo drugs are not given in a home infusion pump (99601 - 99602 = POS 12) and have to be supervised by an oncologis... [ Read More ]

View All