It’s essential to use the right infusion CPT codes and modifiers when billing to ensure accuracy when running an infusion center.
Infusion CPT Code Ranges in 2024
Here are the updated 2024 CPT codes for infusion services:
- 96360 – Hydration and therapeutic or diagnostic injections and/or infusions of non-chemotherapeutic drugs
- 96361 – Each additional hour (after 96360)
- 96365 – Diagnostic, prophylaxis, or therapeutic, intravenous infusion, intravenous infusion; single or initial substance/drug, up to 1 hour
- 96366 – Each additional infusion hour (after 96365)
- 96367 – An additional sequential infusion of a new drug up to one hour
- 96372 – Diagnostic or therapeutic injection, prophylactic; specify substance or drug, subcutaneous or intramuscular
- 96373 – Intra-arterial infusions
- 96374 – Intravenous push, single or initial substance
- 96401 – Administration of chemotherapy or other highly complex drug or biologic agents
- 96413 – Chemotherapy administration, intravenous infusion technique; single or initial substance/drug, up to 1 hour
- 93568 – Injection procedure during cardiac catheterization
Infusion Modifiers
Adding modifiers can improve the accuracy of billing and reduce the potential for claim denials. Here is a list of infusion modifiers:
- 59 – Injection is a separate service from other treatments
- 310 – Not vaccinated against COVID-19
- 311 – Partly vaccinated against COVID-19
- 39 – Any other under-immunized status
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For informational purposes only.