What is the primary procedure code for 96375?
CPT® 96375, Under Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration)
What is the CPT code for IV push?
96374
Code CPT 96374 to report an IV push injection of a single or initial substance/drug.
Is CPT 96375 an add-on code?
Add-on code +96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) may be reported with 96365, 96374, 96409, or 96413 to identify an IV push of a new drug when …
How do you bill infusion therapy?
Intravenous (IV) infusions are billed based upon the CPT®/HCPCS description of the service rendered. A provider may bill for the total time of the infusion using the appropriate add-on codes (i.e. the CPT®/HCPCS for each additional unit of time) if the times are documented.
How do you bill multiple injections?
If a provider wishes to report multiple injections (intramuscular or subcutaneous) of the same therapeutic medication, he or she may choose to report code 96372 (therapeutic, prophylactic, or diagnostic injection [specify substance or drug]). The number of administrations would be reported as the units of service.
What is the difference between CPT code 96374 and 96375?
IV push is reported with 96374 for a single or intial drug or substance. Additional sequential IV push is reported with add-on codes 96375 for a new drug or substance or 96376 for the same drug or substance when provide in a facility.
What is the difference between IV infusion and IV push?
Push IV therapy is faster, taking approximately 15 minutes, whereas IV drip therapy can range from 30 to 180 minutes. Not all vitamin infusions are available as an IV push, however. Some vitamins, nutrients, and medications need to be administered more slowly to mitigate side effects, such as nausea or lightheadedness.
What is IV bolus?
n. A large volume of fluid or dose of a drug given intravenously and rapidly at one time.
What is the CPT code for infusion?
This policy describes reimbursement for non-chemotherapy therapeutic and diagnostic injection services (CPT codes 96372-96379), infusion (CPT 96365-96371) and intravenous fluid infusion for hydration (CPT codes 96360-96361) when reported with evaluation and management (E/M) services.
What is procedure code 96367?
Report subsequent non-chemotherapy infusion of medication using HCPCS code 96367 (additional sequential infusion, up to 1 hour). This code describes the infusion of a second or subsequent non-chemotherapy drug after the initial drug infusion, regardless of whether the initial drug is chemotherapy.
Does CPT code 96374 need a modifier?
The IV is started, the Phenergan is administered from 7:05 p.m. to 7:10 p.m., and the IV is disconnected. In that case, you would bill CPT code 96374, “Intravenous push, single or initial substance/drug” with modifier -59 because the incident is separate from the first visit and another IV placement had to be performed.
What is CPT code 96374?
The Current Procedural Terminology (CPT) code 96374 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). Also, is CPT 96375 an add on code?
How to look up CPT codes for free?
– Do a CPT code search on the American Medical Association website. – Contact your doctor’s office and ask them to help you match CPT codes and services. – Contact your payer’s billing personnel and ask them to help you. – Remember that some codes may be bundled but can be looked up in the same way.
How to Bill CPT 96372?
CPT codes 96374 and +96375 are considered integral to the intubation procedure, therefore you cannot separately code and bill them. However, if the IV pushes are separate and distinct from the intubation, assigning the IV push codes with modifier -59 (distinct procedural service) is appropriate.