How do you code concurrent infusions?
Concurrent infusions (CPT add-on code 96368) are only reported once per day regardless of whether the concurrent infusion lasts for multiple hours or whether additional drugs or substances are administered concurrently.
What is considered a concurrent infusion?
A concurrent infusion is one in which two drugs are simultaneously infused or multiple infusions are provided through the same intravenous line.
How do you code chemo infusion?
Code 96413 (chemotherapy administration, intravenous infusion technique; up to one hour, single or initial substance/drug) would be used to report the first 90 minutes of the infusion.
What does sequential infusion mean?
A sequential infusion is defined as an infusion or IV push of a new substance/drug following a primary or initial service. A concurrent infusion is one in which a new substance/drug is infused at the same time as another substance/drug.
What are infusion codes?
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 IV push?
Giving Medication: IV push. Your doctor has ordered a medication that will go into your intravenous (IV) line. This is called an IV Push because the medication is “pushed” into your bloodstream with a syringe.
How long must infusions be administered to be reported?
The CPT codes for infusions all include a time element, usually one hour. That means you need at least 31 minutes of infusion time in order to report an infusion code.
What is piggyback infusion?
› An intravenous (I.V.) “piggyback,” or secondary infusion, is the administration of. medication that is diluted in a small volume of I.V. solution (e.g., 50–250 ml in a minibag) through an established primary infusion line. The piggyback can be administered by. gravity or by I.V. infusion pump.
Can hydration times be added together?
The guideline states the hydration needs to be greater than 30 minutes, but can we add two separate times under 31 minutes together to meet the time guideline? A: According to the scenario, it would be inappropriate to add together the times in order to achieve the necessary 31 minutes.
What are the codes for chemotherapy?
Chemotherapy administration services (CPT codes 96400, 96408 to 96425, 96520 and 96530) , therapeutic or diagnostic infusions (excluding chemotherapy) (CPT codes 90780 to 90781), and drug injection codes (90782 to 90788) are paid under the Medicare physician fee schedule.
Can you bill hydration with IV infusion?
An intravenous infusion of hydration of 30 minutes or less is not billable. Hydration infusion must be at least 31 minutes in length to bill the service.
What is the ICD 10 code for chemotherapy?
Encounter for antineoplastic chemotherapy
Z51. 11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is the difference between infusion services and chemotherapy infusion in terms of coding?
According to the CPT guidelines, “chemotherapy services are primary to therapeutic, prophylactic, or diagnostic services which are primary to hydration services. Infusions are primary to pushes, which are primary to injections.”
How do you code infusion and hydration?
Hydration is defined as the replacement of necessary fluids via an IV infusion which consists of pre-packaged fluids and electrolytes. Hydration services are reported by using CPT codes 96360 (initial 31 minutes to 1 hour) and 96361 (each additional hour).