cpt 96374, cpt code 96374, 96374 cpt code

CPT Code 96374 | Injection (Intravenous Push)

CPT code 96374 is used for billing for administering a substance or drug through an intravenous push.

What Is CPT Code 96374?

CPT 96374 is used for billing for administering a substance or drug through an intravenous push, a rapid infusion method.

The provider discusses the need for the infusion with the patient, sets up the necessary equipment, inserts a needle or catheter into the patient’s vein, and verifies the medication and dosage before starting the infusion.

The provider may use an existing indwelling catheter or port for the infusion.

Description

The CPT book describes CPT code 96374 as: “Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug.”

Procedure

The provider discusses the need for the rapid intravenous infusion with the patient and/or family member, explaining why it is necessary and what to expect.

The provider sets up the equipment, inserts the needle or catheter into the patient’s vein, and connects it to the tubing. The provider may use an existing indwelling intravascular access catheter or port.

The provider compares the medication name and dosage on the bag’s label to the patient’s orders. 

The provider then establishes the IV site and starts infusion. Finally, he sets the drip rate for a rapid infusion. 

How To Use CPT 96374

The documentation for all infusion codes must specify the name of the drug or other substance used.

Report CPT 96365 for the same service of an infusion for up to one hour for the initial drug.

When reporting IV infusion codes, select the initial code using a hierarchy whereby chemotherapy services are primary to therapeutic, prophylactic, and diagnostic services, which are primary to hydration services. Likewise, infusions are primary to pushes, which are primary to injections.

This instruction was written so a facility coder would not have to prioritize these services by deciding the clinical priority of service.

The provider reporting the service in the office setting determines the primary reason for the hydration or other administration service and thus would be able to select the primary hydration or drug administration service code.

According to CPT guidelines for the hydration and therapeutic, prophylactic, and diagnostic injection and infusion codes, these codes are not intended to be reported by the provider in the facility setting.

Resources

CPT Professional 2022

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