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2009 Drug Administration Codes
January 2009

As you may be aware, there are several new drug administration CPT codes published which were effective January 1, 2009.

The AMA made these changes so that all of the drug administration codes are printed sequentially rather than listed in two different sections of the CPT coding book. However, this recommendation will result in the need to make changes in your hospital's CDM, charge forms, etc. prior to billing for services on or after January 1, 2009.

See the chart below for a crosswalk from the 2008 drug administration CPT codes to the 2009 codes.

2008 CPT Code Description  2009 CPT Code
90760 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 96360
+90761

each additional hour (List separately in addition to code for primary procedure)

96361
90765 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour 96365
+90766

each additional hour (List separately in addition to code for primary procedure)

96366
+90767

additional sequential infusion, up to 1 hour (List separately in addition to code for primary procedure)

96367
+90768

concurrent infusion (List separately in addition to code for primary procedure)

96368
90769 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to one hour, including pump set-up and establishment of subcutaneous infusion site(s)  96369
+90770 each additional hour (List separately in addition to code for primary procedure)  96370
+90771

additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure) 

96371
90772 Therapeutic, prophylactic or diagnostic injection (specify substance or drug); subcutaneous or intramuscular  96372
90773 intra-arterial  96373
90774 intravenous push, single or initial substance/drug  96374
+90775

each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) 

96375
+90776

each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure) 

96376
90779 Unlisted therapeutic, prophylactic or diagnostic intravenous or intra-arterial injection or infusion 96379
96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic 96401
96402 hormonal anti-neoplastic 96402
96405 Chemotherapy administration; intralesional, up to and including 7 lesions 96405
96406 intralesional, more than 7 lesions 96406
96409 intravenous, push technique, single or initial substance/drug  96409
+96411

intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure) 

96411
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug 96413
+96415

each additional hour (List separately in addition to code for primary procedure)

96415
96416 initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump 96416
+96417 each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) 96417
96420 Chemotherapy administration, intra-arterial; push technique 96420
96422 infusion technique, up to one hour  96422
+96423

infusion technique, each additional hour (List separately in addition to code for primary procedure)

96423
96425 infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump 96425
96440 Chemotherapy administration into pleural cavity, requiring and including thoracentesis  96440
96445 Chemotherapy administration into peritoneal cavity, requiring and including peritoneocentesis 96445
96450 Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture 96450
96521 Refilling and maintenance of portable pump 96521
96522 Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)  96522
96523 Irrigation of implanted venous access device for drug delivery systems  96523
96542 Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents  96542
96549 Unlisted chemotherapy procedure 96549

It is important to note that the coding instructions as printed in the CPT Coding Book are not included in this article, only the CPT codes and the CPT narrative descriptions.

   

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