General Question for the Week of April 29, 2019

Question:

Is there a CPT® code for concurrent administration of a chemotherapy agent?

Answer:

The CPT® code series for chemotherapy does not include a specific code for concurrent administration of a chemotherapy agent. When coding a concurrent administration of a drug in addition to a chemotherapeutic administration, the most likely scenario is that the additional drug is not a second chemotherapy agent and is best coded accurately from the series for drug administration. If the drug is a chemotherapy agent, the American Medical Association (AMA) instructs providers to report CPT 96549 (unlisted chemotherapy procedure), the unlisted procedure code for concurrent chemotherapy services

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.

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