2025 CPT code 96375
Each additional sequential intravenous push of a new substance/drug; administered after an initial service through the same IV access.
Modifier 59 (distinct procedural service) may be applied if the additional IV push is considered a distinct service from the primary procedure.Consult the current CPT guidelines for appropriate modifier use.
Medical necessity is established by the physician's order documenting the need for sequential administration of the new substance/drug.The documentation should clearly indicate the clinical rationale for the additional medication(s), such as managing adverse effects of the primary medication or treating a separate condition.
The clinical responsibility involves administering the subsequent IV push medication(s) after an initial IV injection or infusion.The provider must verify medication orders, prepare the medication, and carefully administer it while monitoring the patient for adverse reactions.This may include assessing the patient's vital signs and adjusting the infusion rate as needed.
- Medicine Services and Procedures
- Add-on code under the category of therapeutic, prophylactic, or diagnostic injections and infusions.Lower hierarchical level than initial IV push (96374) or infusion (96365) codes.
In simple words: This code is used when a doctor gives a second or more IV push medications of a different type than the first one through the same IV line.It is used only along with the code for the first medicine given.
This CPT code, 96375, reports each additional intravenous (IV) push of a new substance or drug administered sequentially after an initial service via the same IV access.The initial service could be another IV push (96374), an infusion (96365), or a chemotherapy administration (96409 or 96413).This code is an add-on code and requires a primary procedure code to be reported alongside it. The administration is for therapeutic, prophylactic, or diagnostic purposes.Only one initial service code should be reported per day unless two separate IV sites are necessary due to clinical protocols or patient conditions.
Example 1: A patient receives an initial IV push of an antiemetic (96374) followed by a sequential IV push of a different antiemetic (96375) through the same IV access. The 96375 code reports the additional sequential IV push., A patient is receiving an intravenous infusion of antibiotics (96365).During the infusion, the provider administers an additional IV push of pain medication (96375) via the same IV line. This code would be used to bill for the second medicine given., A patient undergoes chemotherapy (96413). An additional IV push of antiemetic medication is given via the same IV access (96375). This would be billed in addition to the primary chemotherapy code (96413).
* Name of the drug(s) administered.* Dosage of the drug(s) administered.* Route of administration (intravenous push).* Time of administration for each push.* Documentation of the primary procedure performed (e.g., 96365, 96374, 96409, 96413).* Any adverse reactions or complications.* Patient's response to the medication(s).
** This code is specifically for sequential IV pushes of *different* substances or drugs.For sequential IV pushes of the *same* drug, use code 96376.Ensure accurate documentation to support the medical necessity of each administered substance.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: Information not available in provided text.Consult the CMS national fee schedule for current RVU values.
- Global Days : Not applicable. This is an add-on code for subsequent IV pushes, not a global procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable.This is not a technical component code.
- Fee Schedule : Historical fee schedule information is not provided.Consult your payer's fee schedule or a reliable fee schedule database for historical data.
- Specialties:Oncology, Hematology, Internal Medicine, Emergency Medicine, Critical Care
- Place of Service:Office, Hospital, Outpatient Hospital, Ambulatory Surgical Center