How To Use CPT Code 96411

CPT 96411 describes the administration of an additional chemotherapy drug using an intravenous push technique. 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 96411?

CPT 96411 can be used to describe the administration of an additional chemotherapy drug using an intravenous push technique. This code is used when the provider administers an extra drug or substance through IV push technique, requiring 15 minutes or less.

2. Official Description

The official description of CPT code 96411 is: ‘Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure).’ This code is an add-on code and should be reported in conjunction with the appropriate primary code, such as CPT 96409 or CPT 96413.

3. Procedure

1. The provider connects the syringe to the IV access device.
2. The provider slowly injects the additional chemotherapy drug or substance into the patient’s bloodstream.
3. The advantage of using the intravenous push technique is that the provider can administer extra medicine as required without injecting the patient elsewhere.
4. The drug shows its effect immediately as it is injected directly into the bloodstream.
5. This procedure is typically completed within 15 minutes or less.

4. Qualifying circumstances

CPT 96411 is used when the provider administers an additional chemotherapy drug or substance using the intravenous push technique. This code is appropriate when the administration requires 15 minutes or less. It is important to note that this code should only be reported in conjunction with the appropriate primary code, such as CPT 96409 or CPT 96413.

5. When to use CPT code 96411

CPT code 96411 should be used when the provider administers an additional chemotherapy drug or substance using the intravenous push technique, and the administration requires 15 minutes or less. It is important to ensure that the appropriate primary code is also reported in conjunction with CPT 96411.

6. Documentation requirements

To support a claim for CPT 96411, the provider must document the following information:

• The specific additional chemotherapy drug or substance administered
• The date and time of the administration
• The duration of the administration (15 minutes or less)
• The appropriate primary code reported in conjunction with CPT 96411
• Any other relevant information related to the administration

7. Billing guidelines

When billing for CPT 96411, ensure that the administration meets the qualifying circumstances, including the use of the intravenous push technique and a duration of 15 minutes or less. It is important to report CPT 96411 in conjunction with the appropriate primary code, such as CPT 96409 or CPT 96413. Payers will not reimburse for CPT 96411 if it is reported without an appropriate primary code.

8. Historical information

CPT 96411 was added to the Current Procedural Terminology system on January 1, 2006. There have been no updates to the code since its addition.

9. Examples

1. A provider administers an additional chemotherapy drug using the intravenous push technique, requiring 10 minutes.
2. A patient receives an extra substance through IV push technique during their chemotherapy treatment, which takes 12 minutes.
3. A provider administers an additional drug using the intravenous push technique, and the administration is completed within 8 minutes.
4. An oncology nurse administers an extra chemotherapy drug to a patient using the intravenous push technique, and the administration lasts for 14 minutes.
5. A provider administers an additional substance through IV push technique, and the administration takes 7 minutes to complete.
6. A patient receives an extra chemotherapy drug using the intravenous push technique, and the administration is completed within 13 minutes.
7. An oncologist administers an additional drug to a patient through IV push technique, requiring 9 minutes.
8. A provider administers an extra substance using the intravenous push technique, and the administration takes 11 minutes.
9. A patient receives an additional chemotherapy drug through IV push technique, and the administration is completed within 6 minutes.
10. An oncology nurse administers an extra drug to a patient using the intravenous push technique, and the administration lasts for 10 minutes.