Health Information Management

Report 90768 for concurrent infusion of non-chemotherapy drug

APCs Insider, March 16, 2007

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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.

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