General Question for the Week of May 22, 2023

Question:

Do we assign G0498 for administering a non-chemotherapy drug via prolonged infusion requiring the use of a portable or implantable pump?

Answer:

When administering a non-chemotherapy drug via prolonged infusion requiring the use of a portable or implantable pump, assign HCPCS code C8957. Report code 96416 only when administering a chemotherapy drug, and no additional cost is incurred for the portable infusion pump. Alternatively, HCPCS code G0498 will be billed for prolonged infusions where there is also a cost associated with the portable pump.

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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