Current Procedural Terminology (CPT) codes¹

• CPT codes are used to classify most medical procedures done in an HCP's office

• They fall into 3 categories and may contain modifiers for increased specificity

The following CPT codes are commonly used to identify infused or injected drugs^2,3

Infusion

A controlled method of administering a substance (drugs, fluids, nutrients, etc) continuously over an extended period of time.

Injection

Insertion of a drug, substance, or solution into the body part (eg, subcutaneous tissue, muscle, vascular tree, or an organ).

96360-96361

96360-96361

Hydration infusion

96365-96379

96365-96379

Therapeutic, prophylactic, and diagnostic injections and infusions (excludes chemotherapy and other highly complex drug or highly complex biologic agent administration)

96401-96549

96401-96549

Chemotherapy administration and other highly complex drug or highly complex biologic agent administration

Codes are subject to change. Verify current coding prior to any claim submission.

THIS INFORMATION IS PROVIDED FOR EDUCATIONAL PURPOSES ONLY AND IS NOT A GUARANTEE OF COVERAGE. IT IS THE SOLE RESPONSIBILITY OF THE HEALTH CARE PROVIDER TO SELECT THE PROPER CODES AND ENSURE THE ACCURACY OF ALL STATEMENTS USED IN SEEKING COVERAGE AND REIMBURSEMENT FOR AN INDIVIDUAL PATIENT.

CPT^® is a registered trademark of the American Medical Association. All rights reserved.

References: 1. AAPC Coder. Accessed June 21, 2020. https://www.aapc.com/resources/medical-coding/cpt.aspx 2. UHC Oxford. Accessed June 21, 2020.
https://www.oxhp.com/secure/policy/injection_and_infusion_services_policy.pdf 3. AAPC Coder. Accessed June 21, 2020. https://coder.aapc.com/cpt-codes-range/2854