How To Use CPT Code 90296

CPT 90296 describes the administration of diphtheria antitoxin, equine, via any route. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 90296?

CPT 90296 can be used to describe the administration of diphtheria antitoxin, equine, via any route. This code is used when a healthcare provider administers the injection of diphtheria antitoxin to a patient to prevent or treat diphtheria. The injection is slowly administered using an appropriately sized needle to a desired site to provide the desired pharmacological action.

2. Official Description

The official description of CPT code 90296 is: ‘Diphtheria antitoxin, equine, any route.’

3. Procedure

1. The healthcare provider assesses the patient’s need for diphtheria antitoxin administration.
2. The appropriate dose of diphtheria antitoxin is determined based on the patient’s condition.
3. The healthcare provider selects the route of administration, which can be any route suitable for the patient.
4. An appropriately sized needle is used to slowly administer the diphtheria antitoxin to the desired site.
5. The administration of diphtheria antitoxin helps neutralize toxins in the body and protect against corynebacterium diphtheriae.

4. Qualifying circumstances

Patients eligible to receive CPT 90296 services are those who require the administration of diphtheria antitoxin, equine, to prevent or treat diphtheria. The healthcare provider must determine the need for this treatment based on the patient’s condition. The administration can be done via any route suitable for the patient, and an appropriately sized needle should be used.

5. When to use CPT code 90296

CPT code 90296 should be used when a healthcare provider administers diphtheria antitoxin, equine, via any route to prevent or treat diphtheria. It is important to ensure that the administration is done using the appropriate dose and an appropriately sized needle. This code should be used for each instance of diphtheria antitoxin administration.

6. Documentation requirements

To support a claim for CPT 90296, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for diphtheria antitoxin administration
• Route of administration used
• Date and time of the administration
• Specific details of the administration, including the dose and any relevant observations
• Signature of the healthcare provider administering the diphtheria antitoxin

7. Billing guidelines

When billing for CPT 90296, ensure that the administration is done by a qualified healthcare provider and that the appropriate dose and route of administration are used. It is important to follow the guidelines provided by the payer regarding the reporting of this code. Consider any additional codes that may need to be reported in conjunction with CPT 90296, and use the appropriate modifiers if necessary.

8. Historical information

CPT 90296 was added to the Current Procedural Terminology system on January 1, 1999. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider administering diphtheria antitoxin, equine, via intramuscular route to prevent diphtheria in a patient.
2. A healthcare provider administering diphtheria antitoxin, equine, via intravenous route to treat diphtheria in a patient.
3. A healthcare provider administering diphtheria antitoxin, equine, via subcutaneous route to prevent diphtheria in a patient.
4. A healthcare provider administering diphtheria antitoxin, equine, via intravenous route to prevent diphtheria in a patient.
5. A healthcare provider administering diphtheria antitoxin, equine, via intramuscular route to treat diphtheria in a patient.
6. A healthcare provider administering diphtheria antitoxin, equine, via subcutaneous route to treat diphtheria in a patient.
7. A healthcare provider administering diphtheria antitoxin, equine, via intravenous route to prevent diphtheria in a patient.
8. A healthcare provider administering diphtheria antitoxin, equine, via intramuscular route to treat diphtheria in a patient.
9. A healthcare provider administering diphtheria antitoxin, equine, via subcutaneous route to prevent diphtheria in a patient.
10. A healthcare provider administering diphtheria antitoxin, equine, via intravenous route to treat diphtheria in a patient.