Clarification Injection and Infusion Coding Basics

Clarification Injection and Infusion Coding Basics2009 CPT® CODING CHANGES FOR THE HYDRATION AND THERAPEUTIC, DIAGNOSTIC, AND PROPHYLACTIC DRUG ADMINISTRATION CODES

A cross reference between the new 2009 CPT codes and 2008 CPT codes




NEW 2009 CPT Codes  2009 CPT Code Description 2008 CPT Codes  2008 CPT Code Description

Hydration Administration Codes
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 90760 Intravenous infusion, hydration; initial, 31 minutes to 1 hour
96361 each additional hour 90761 each additional hour

Therapeutic, Prophylactic, and Diagnostic Administration Codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour 90765 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 each additional hour 90766 each additional hour
96367 additional sequential infusion, up to 1 hour 90767 additional sequential infusion, up to 1 hour
96368 concurrent infusion 90768 concurrent infusion
96369 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to one hour, including pump set-up and establishment of subcutaneous infusion site(s) 90769 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to one hour, including pump set-up and establishment of subcutaneous infusion site(s)
96370 each additional hour 90770 each additional hour
96371 additional pump set-up with establishment of new subcutaneous infusion site(s) 90771 additional pump set-up with establishment of new subcutaneous infusion site(s)
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular 90772 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
96373 intra-arterial 90773 intra-arterial
96374 Therapeutic, prophylactic or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug 90774 Therapeutic, prophylactic or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug
96375 each additional sequential intravenous push of a new substance/drug 90775 each additional sequential intravenous push of a new substance/drug
96376 each additional sequential intravenous push of the same substance/drug provided in a facility 90776 each additional sequential intravenous push of the same substance/drug provided in a facility
96379 Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion 90779 Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion

NOTES:

  • There have been no changes in the chemotherapy administration codes for 2009.
  • The "initial" service codes appear in bold.
  • Codes 96361, 96366, 96367, 96368, 96370, 96371, 96375, and 96376 are all add-on codes.
  • Add-on code 96376 is to be used in the facility setting only.

Respectfully Submitted by: Julie-Leah J. Harding, CPC, RMC, PCA, CCP, SCP-ED