What is procedure code 96361?
Group 1
| Code | Description |
|---|---|
| 96360 | INTRAVENOUS INFUSION, HYDRATION; INITIAL, 31 MINUTES TO 1 HOUR |
| 96361 | INTRAVENOUS INFUSION, HYDRATION; EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) |
Can 96360 and 96372 be billed together?
Do not report CPT code 96365, 96374, 96372 and 96360 together unless there are two or more IV sites for infusion or injection. All add-on codes (+) should be used secondary codes along with other services. For example, IV push code +96375 can be coded as secondary code with initial IV infusion CPT code 96365.
What is the difference between hydration and infusion?
Hydration is defined as the replacement of necessary fluids via an IV infusion which consists of pre-packaged fluids and electrolytes. IV fluids reported for hydration lasting 30 minutes or less is not reported using infusion codes.
What is included in CPT 96365?
The Current Procedural Terminology (CPT®) code 96365 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).
Does CPT 96360 require 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.
How do I bill CPT 96360?
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).
Does CPT 96361 require a modifier?
Networker. No 96361, 96366, 96367, & 96368 do not need 59 modifiers because they are add-on codes (in their description it states they are additional sequential infusions/pushes). But the 96375 will need a 59 with certain codes like 36593, 38221 or 62270.
What is J7040?
J7040 – Infusion, normal saline solution, sterile (500 ml = 1 unit)
CAN J7030 be billed with 96360?
Per our policy, which is based on CMS Coverage guidelines, the following criteria must be met for hydration infusion to be considered appropriate: 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 is the revenue code for 96360?
What is J7060?
J7060 is a valid 2021 HCPCS code for 5% dextrose/water (500 ml = 1 unit) or just “5% dextrose/water” for short, used in Medical care.
What is CPT J9355?
HCPCS Code J9355 J9355 is a valid 2021 HCPCS code for Injection, trastuzumab, excludes biosimilar, 10 mg or just “Inj trastuzumab excl biosimi” for short, used in Medical care.
