Oncology Coding Article – Outpatient Prospective Payment System (OPPS)

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Medical Oncology Code Changes

ACOA’s Coding Corner – October 2005

CPT Releases 2006 Infusion Codes!

The American Medical Association has released the new infusion and injection codes for 2006 in order to facilitate hospital comments regarding the Outpatient Prospective Payment System (OPPS) proposed rule.  These codes will apply in all settings effective January 1, 2006.  The complete text of the codes and instructions is located at: http://www.ama-assn.org

Following is a handy table to cross-reference the codes:

Comparison CPT Codes & HCPCS Codes

2006 Injections & Infusions

2006 Code

Descriptor

Old HCPCS or CPT Code

90760

Initial infusion, up to 1 hour, hydration

90780-G0345

90761

Each additional hour, up to 8 hours (add-on code)

90781-G0346

90765

Initial infusion, up to 1 hour, therapeutic/diagnostic

90780-G0347

90766

Each additional hour, up to 8 hours (add-on code)

90781-G0348

90767

 Additional sequential infusion, up to 1 hour (add-on)

90781-G0349

90768

Concurrent infusion, therapeutic/diagnostic (add-on)

G0350

90772

Injection, single/initial, therapeutic/diagnostic, IM or SQ

90782-G0351

90773

Injection, intra-arterial

90783-G0352

90774

IV push, therapeutic/diagnostic, initial/single drug

90784-G0353

90775

Each additional IV push, new drug (add-on code)

G0354

96401

Injection, chemotherapy, non-hormonal, IM or SQ

96400-G0355

96402

Injection, chemotherapy, hormonal, IM or SQ

96400-G0356

96409

IV push, single/initial, chemotherapy

96408-G0357

96411

Each additional IV push, new drug (add-on code)

96408-G0358

96413

Initial IV infusion, up to 1 hour, chemotherapy

96410-G0359

96415

Each additional hour, 1 to 8 hours (add-on code)

96412-G0360

96416

Initiation of prolonged chemotherapy infusion, via pump

96414-G0361

96417

Additional sequential infusion, up to 1 hour (add-on)

96412-G0362

96523

Irrigation implanted venous access device, drug delivery

G0363

Watch for more 2005 coding changes in the upcoming months.  Review previous Coding and Reimbursement Updates from the Academy’s Website.

This Coding and Reimbursement Update was prepared by:
Cindy C. Parman, CPC, CPC-H
Coding Strategies, Inc.

Phone: (877) 6CODING

Fax: (770) 445-0407

[email protected]
www.codingstrategies.com

Cindy C. Parman, CPC, CPC-Hcparman-9451483
principal and co-founder of Coding Strategies, Inc. in Atlanta, GA. Cindy is a current member of the Advisory Board for the American Academy of Professional Coders (AAPC) and a faculty instructor for AMA Solutions, a subsidiary of the American Medical Association.  She serves as the Consulting Editor of the Radiology Coding Alert and is on the Editorial Advisory Board of General Surgery Coding Alert and Pain Management Coding Alert.  

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