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Revised Coding Guidelines for Drug Administration Codes

This one time notification incorporates revisions to the coding guidelines for drug administration services adopted by the Current Procedural Terminology (CPT) Editorial Panel in February 2005. These revisions pertain to the short duration infusion, the allowable number of concurrent infusions per patient per encounter, and clarification of the term "initial" service for drug administration services.
We are also providing corrections to two issues presented in Transmittal 129, released on December 10, 2004, which addressed the 2005 drug administration coding revisions. These corrections relate to the use of modifier 59, instead of modifier 76, for the patient who has to come back for a separately identifiable service on the same day, or has 2 IV lines per protocol and that hydration services are billable only if they are performed sequentially, but not concurrently, to a drug infusion service.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 15, 2005

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.