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Injection code

Lili Posted Wed 09th of October, 2013 13:53:21 PM

"I need the HCPCS OR CPT code for Injection of 5-Fluoro uracil(7.5mg)
anti metabolite"

SuperCoder Answered Wed 09th of October, 2013 17:29:01 PM

HCPCS -J9190

These codes cover the cost of the chemotherapy drug only, not to include the administration.
Bill local carrier if incident to a Physician's service or used in an implanted infusion pump. If other, bill DME/MAC.

You should choose your initial infusion code based on the main reason for the patients visit (chemotherapy in this case) rather than based solely on the order administered, according to CPT guidelines.

96409: Your initial code, therefore, should be for the 5FU intravenous push (IVP):96409 (Chemotherapy administration; intravenous, push technique, single or initial substance/drug).

If you bear the cost of the 5FU, report one unit of J9190 (Injection, fluorouracil, 500 mg).

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