Skip to main content

Is CPT 96374 and add on code?

Is CPT 96374 and 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 …

What does CPT code 96360 mean?

CPT Definition: 96360: Intravenous Infusion, hydration; initial, 31 minutes to 1 hour.

Does CPT code 96360 need a modifier?

As an FYI the only modifier’s allowed for the 96360 initial code is 59 and PD. Hydration must be medically reasonable and necessary. If documentation supports a clinical condition that warrants hydration, other than one brought about by the requirements of a procedure, the hydration may be separately billable.

Does CPT 96360 need a modifier?

Does CPT 96374 need a modifier?

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.

How do I bill CPT 96360?

Report the infusion code for “each additional hour” (CPT code 96361) only if the infusion interval is greater than 30 minutes beyond the one-hour increment. CPT code 96360 with/without CPT code 96361 will be paid once per session. Medicare would not expect to see CPT code 96360 billed more frequently than once per day.

CAN J7030 and 96360 be billed together?

Deny CPT Codes: J7030, J7040, J7042, J7050, J7060, J7070, J7120 or J7121 (Intravenous fluids) when billed with intravenous infusion hydration (96360) by any provider.

What modifier should you use for CPT 96372?

You will not find anything stating that this modifier is not to be used with CPT code 96372 because there is no such rule, and in fact there are situations in which the modifier is required. But whether or not a modifier 59 is appropriate on this code would depend on what other services are billed by the provider on the same date of service.

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.

Does Medicare cover CPT 96372?

This UnitedHealthcare reimbursement policy is aligned with the American Medical Association (AMA) Current Procedural Terminology (CPT®) and Centers for Medicare and Medicaid Services (CMS) guidelines. This policy describes reimbursement for therapeutic and diagnostic Injection services (CPT codes 96372-96379) when

When to use 96372?

The 96372 CPT code is to be billed for each injection performed on a patient. Modifier 59 should be used when the injection is a separate service from other treatments. Subsequent codes related to this code include: 96373 – therapeutic, prophylactic, and diagnostic substance by intra-arterial injections and infusions