Question:

Under what circumstances can code 96367 be reported in conjunction with other IV infusion services in the hospital setting?

Answer:

Report 96367 in conjunction with 96365, 96409, or 96413 if IV infusion is performed as a secondary or subsequent service. The parenthetical instruction that follows 96367 in the CPT codebook also indicates that 96367 would be billable with 96374; however, this instruction is not applicable to the hospital setting, as the coding hierarchy for determining complexity of the drug administration will result in IV infusion taking precedence over the IV push for assigning the initial code.

This question was answered in our Coding Essentials for Infusion & Injection Therapy Services. For more hot topics relating to infusion services, please visit our store or call us at 1.800.252.1578, ext. 2.