2025 CPT code 96374
Therapeutic, prophylactic, or diagnostic intravenous push of a single or initial substance/drug.
Modifiers may be applicable to this code. For example, modifier 25 can be used to indicate a separately identifiable E/M service provided on the same day. Modifier 59 may be used to indicate a distinct procedural service.
Medical necessity must be supported by documentation demonstrating the clinical rationale for the intravenous push administration. This may include the patient's diagnosis, symptoms, and other relevant clinical information. The documentation should explain why the medication needed to be administered via IV push rather than another route, such as oral or intramuscular injection.
The provider discusses the need for the intravenous push with the patient and/or family, explaining the rationale and expected outcomes. They prepare the necessary equipment, insert the needle or catheter into the patient's vein, and connect it to the tubing. An existing indwelling intravascular access catheter or port may be used. The provider verifies the medication name and dosage against the patient's orders before administering the intravenous push. Patient monitoring during the administration is included.
In simple words: A healthcare professional administers a single medication or substance quickly into your vein for treatment, prevention, or diagnosis.
This code represents the intravenous push administration of a single or initial substance/drug for therapeutic, prophylactic, or diagnostic purposes. It includes the physician or other qualified healthcare professional's work related to affirming the treatment plan and direct supervision of staff. If performed to facilitate the injection, the following services are included and are not reported separately: use of local anesthesia, IV start, access to indwelling IV, subcutaneous catheter or port, and flush at conclusion of infusion. Standard tubing, syringes, and supplies are also included.
Example 1: A patient presents to the emergency department with a severe allergic reaction. 96374 is reported for the intravenous push administration of diphenhydramine., A patient with nausea related to chemotherapy receives an intravenous push of an antiemetic medication. 96374 is reported for the administration of the antiemetic., A patient undergoes a diagnostic procedure requiring intravenous contrast material. 96374 would not be reported for the contrast injection, as the push administration is inherent to the diagnostic imaging procedure.
Documentation should include the name of the drug or substance administered, the dosage, the time of administration, the route of administration (IV push), and the patient's response to the medication. Any complications or adverse reactions should also be documented. The medical record should also clearly support the medical necessity for the intravenous push administration.
- Specialties:Emergency medicine, oncology, anesthesiology, and potentially many other specialties may utilize this code.
- Place of Service:Office, Home, Outpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center, Independent Clinic, Federally Qualified Health Center and other places of service, excluding Inpatient Hospital.