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Remicade Infusion thru port-a-cath already in place thru port

Susan Posted Mon 18th of March, 2013 13:52:23 PM

Need cpt for remicade infusion thru port-a-cath. Our nurse is infusing
remicade thru a port-a-cath that has been implanted just for remicade infusion. Nurse states the cpt 96413 is not the correct code for this and 96446 should be the appropriate code .Does anyone do this type of infusion and what code is used?

Susan Posted Mon 18th of March, 2013 17:44:00 PM

incorrect cpt given for the above sincerio 96446 is for peritoneal cavity....so with that said, what would be the cpt for remicade infusion through a previously placed port-a cath .Port-a-cath accessed with huber needle,cath as flushed with Heparin.

SuperCoder Answered Tue 19th of March, 2013 18:09:22 PM

96413 is a likely code. Payers are free to determine which non-chemotherapy agents they pair with chemotherapy administration codes, which reflect a higher level of skill and therefore a higher fee than non-chemo admin codes. You're likely to find that payers instruct you to report Remicade infusions using chemotherapy infusion codes, such as 96413 (Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug) and +96415 (Chemotherapy administration, intravenous infusion technique; each additional hour [List separately in addition to code for primary procedure]). Recall that CPT includes access to indwelling IV, subcutaneous catheter or port, and flush at conclusion of infusion in the admin code.

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