Question:
Why is diagnostic drug administration performed?
Answer:
Diagnostic drug administration is performed to obtain information that helps to assess a medical condition, identify a disease, or determine the nature and severity of an ailment or injury. Diagnostic drug administration includes but is not limited to evocative/suppression testing, including ACTH for determination of adrenal insufficiency. According to the NCCI Policy Manual, Chapter X—Pathology and Laboratory Services, the administration of the evocative or suppressive agent is billable in the physician office setting and the hospital setting. A change in the instruction for hospitals was included in the October 2009 update to this NCCI policy. Prior versions of the policy instructed that when the evocative or suppressive agent was administered by ancillary personnel in the hospital the infusion was not separately billable.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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