Medical Oncology Code Changes
ACOA’s Coding Corner – October 2005
CPT Releases 2006 Infusion Codes!
The American Medical Association has released the new infusion and injection codes for 2006 in order to facilitate hospital comments regarding the Outpatient Prospective Payment System (OPPS) proposed rule. These codes will apply in all settings effective January 1, 2006. The complete text of the codes and instructions is located at: http://www.ama-assn.org
Following is a handy table to cross-reference the codes:
|
Comparison CPT Codes & HCPCS Codes 2006 Injections & Infusions |
||
|
2006 Code |
Descriptor |
Old HCPCS or CPT Code |
|
90760 |
Initial infusion, up to 1 hour, hydration |
90780-G0345 |
|
90761 |
Each additional hour, up to 8 hours (add-on code) |
90781-G0346 |
|
90765 |
Initial infusion, up to 1 hour, therapeutic/diagnostic |
90780-G0347 |
|
90766 |
Each additional hour, up to 8 hours (add-on code) |
90781-G0348 |
|
90767 |
Additional sequential infusion, up to 1 hour (add-on) |
90781-G0349 |
|
90768 |
Concurrent infusion, therapeutic/diagnostic (add-on) |
G0350 |
|
90772 |
Injection, single/initial, therapeutic/diagnostic, IM or SQ |
90782-G0351 |
|
90773 |
Injection, intra-arterial |
90783-G0352 |
|
90774 |
IV push, therapeutic/diagnostic, initial/single drug |
90784-G0353 |
|
90775 |
Each additional IV push, new drug (add-on code) |
G0354 |
|
96401 |
Injection, chemotherapy, non-hormonal, IM or SQ |
96400-G0355 |
|
96402 |
Injection, chemotherapy, hormonal, IM or SQ |
96400-G0356 |
|
96409 |
IV push, single/initial, chemotherapy |
96408-G0357 |
|
96411 |
Each additional IV push, new drug (add-on code) |
96408-G0358 |
|
96413 |
Initial IV infusion, up to 1 hour, chemotherapy |
96410-G0359 |
|
96415 |
Each additional hour, 1 to 8 hours (add-on code) |
96412-G0360 |
|
96416 |
Initiation of prolonged chemotherapy infusion, via pump |
96414-G0361 |
|
96417 |
Additional sequential infusion, up to 1 hour (add-on) |
96412-G0362 |
|
96523 |
Irrigation implanted venous access device, drug delivery |
G0363 |
Watch for more 2005 coding changes in the upcoming months. Review previous Coding and Reimbursement Updates from the Academy’s Website.
This Coding and Reimbursement Update was prepared by:
Cindy C. Parman, CPC, CPC-H
Coding Strategies, Inc.
Phone: (877) 6CODING
Fax: (770) 445-0407
[email protected]
www.codingstrategies.com
Cindy C. Parman, CPC, CPC-H
principal and co-founder of Coding Strategies, Inc. in Atlanta, GA. Cindy is a current member of the Advisory Board for the American Academy of Professional Coders (AAPC) and a faculty instructor for AMA Solutions, a subsidiary of the American Medical Association. She serves as the Consulting Editor of the Radiology Coding Alert and is on the Editorial Advisory Board of General Surgery Coding Alert and Pain Management Coding Alert.