What is procedure code 96402?
What is procedure code 96402?
When gonadotropin releasing hormone (GnRH) and analogs (including but not limited to HCPCS code J9217) are used in the treatment of cancer, the administration of these drugs may be billed ONLY with CPT® code 96402 – chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic.
What are Medicare service codes?
These codes identify non-physician services such as ambulance services, durable medical equipment, and pharmacy. These are typically not costs that get passed through a physician’s office so they must be dealt with by Medicare or Medicaid differently from the way a health insurance company would deal with them.
What is the CPT code for Prolia injection?
Earlier Prolia injection was billed using HCPCS code either J3490 (Unclassified drugs) or J3590 (Unclassified biologics) but effective from January 1, 2012, a new HCPCS procedure code has been assigned to the drug denosumab (Prolia or Xgeva).
What is CPT code J1950?
2021 HCPCS Code J1950 : Injection, leuprolide acetate (for depot suspension), per 3.75 mg.
What is CPT J0897?
J0897 is a valid 2021 HCPCS code for Injection, denosumab, 1 mg or just “Denosumab injection” for short, used in Medical care.
What are type of service codes?
Transaction Code List – General Type of Service:
- Medical Care.
- Diagnostic X-Ray.
- Diagnostic Lab.
- Radiation Therapy.
- Surgical Assistance.
What is CPT code J0897?
Group 1 Codes:
|96372||THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTRAMUSCULAR|
|J0897||INJECTION, DENOSUMAB, 1 MG|
What is the ICD 10 code for Prolia?
† Diagnosis code Z79. 818 may be used for males receiving androgen deprivation therapy (eg, leuprolide acetate or goserelin acetate) for prostate cancer.
Do I need a modifier for 96372?
When a patient receives two or three intramuscular or subcutaneous injections, CPT code 96372 should be reported for each injection performed (either IM or SubQ). Documentation in the patient’s medical record must support the use of this modifier.
Can you use 96402 for chemotherapy drug administration?
Now you will no longer be able to use 96402 for the administration. In place of chemotherapy drug administration codes 96401- 96549, you should select a code from the 96360-96379 code series.
What is the CPT code for Faslodex 96402?
POTENTIAL CPT code for your reference when submitting claims for FASLODEX. Code Description 96402 Chemotherapy administration, subcutaneous or intramuscular; hormonal antineoplastic
What’s the difference between 96402 and 99212-25?
This assessment demands a separate charge. Earlier you would have gone for 99212-25 for the clinical assessment, 96402 for the Lupron administration and J9217 for the drug. For a Nordian patient, now you would report 99212-25, 96372, and J9217.
What is the coding for the drug 96372?
96372 Therapeutic, prophylactic or diagnostic injection, sc or im 16.94 14.44 96377 Application on-body injector 20.54 20.21 96401 Chemo administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic 80.73 80.12 96402 Chemo administration, subcutaneous or intramuscular; hormonal anti-neoplastic 31.35 32.12
What is Medicare service code 96402?
The Current Procedural Terminology (CPT ®) code 96402 as maintained by American Medical Association, is a medical procedural code under the range – Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration.
What is medical code 99402?
• 99402 – preventive medicine counseling and/or risk factor intervention/s provided to an individual (separate procedure); approximately 30 minutes . HCPCS codes related to obesity screening and counseling are: • G0446 – annual, face-to-face intensive behavioral counseling (IBT) for cardio-vascular disease (CVD), individual, 15 minutes
What is CPT code 96401?
CPT 96401, Under Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration. The Current Procedural Terminology (CPT) code 96401 as maintained by American Medical Association, is a medical procedural code under the range – Injection and Intravenous Infusion Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration.
What is the Current Procedural Terminology code 46922?
46922, Under Destruction Procedures on the Anus. The Current Procedural Terminology (CPT ®) code 46922 as maintained by American Medical Association, is a medical procedural code under the range – Destruction Procedures on the Anus.