Health Information Management

Q/A: Therapeutic drugs running in multiple lines with multiple sites

APCs Insider, June 11, 2010

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Q: How should we report the administration of therapeutic drugs in two separate lines connected to two different IV sites at the same time for six hours?

A: If you have two lines and both have therapeutic drugs running for six hours, you should report the following for one line:

  • 96365 x 1 (intravenous infusion, for therapy, prophylaxis, or diagnosis [specify substance or drug]; initial, up to 1 hour) and
  • 96366 x 5 (intravenous infusion, for therapy, prophylaxis, or diagnosis [specify substance or drug]; each additional hour)

For the second line, report 96365-59 x 1 and 96366-59 x 5. You must report modifier -59 (distinct procedural service) for the services being billed for the second line to indicate that your are intentionally reporting two initial service codes and that the additional hours for the second line are separate from the additional hours associated with the first line.



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