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When is code 96367 assigned?
Code 96367 (sequential infusion) is assigned when a different substance is administered through the same access line after the initial or prior substance has completed infusing. Documentation of a sequential infusion should include a notation that the IV line was cleared or flushed between substances. Each sequential administration of a different drug or substance lasting longer than 15 minutes should be separately charged. When the sequential administration exceeds 90 minutes, a charge for “each additional hour” is also reported. The start and stop time for an infusion of each drug must be documented, and the total time calculated per drug, in order to determine the billable units of service for 96366.
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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