Health Information Management

Report 90768 for concurrent infusion of non-chemotherapy drug

APCs Insider, March 16, 2007

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

QUESTION: I have a question concerning the Q&A that appeared in the Friday, March 9, 2007 APCs Weekly Monitor ("Use unlisted code 96549 to report concurrent chemotherapy"). You said that we should report 96549 (Unlisted chemotherapy procedure) to report concurrent chemo infusions, and 90768 to report only non-chemo concurrent infusions, but how should we report a chemo and a non-chemo bag that staff infuse concurrently?

ANSWER: The full description of 90768 is "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)." Its code description indicates that you should report this code in addition to the primary or initial procedure.

When your primary or key procedure is a chemotherapy infusion--and staff infuse a non-chemotherapy drug concurrently or at the same time--report 90768 in addition to the primary chemo procedure code.

CPT Manual indicates that 90768 is an add-on code. Only report this code once per encounter regardless of the number of drug(s) staff concurrently infuse. Validate that you have reported the correct units of service on your UB-92 claims.

Also, note that 90768 does not have a time duration according to its code description. For 2007, you can report 90768 in conjunction with 90765, 90766, 96413, 96415, 96416, 96422, and 96423.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular