2025 CPT code 96420
Chemotherapy administration, intra-arterial; push technique
Modifiers may be applicable to this code to indicate specific circumstances of the procedure, such as reduced services (52), discontinued procedure (53), distinct procedural service (59), or multiple modifiers (99).
Medical necessity for this procedure is determined by the patient's specific cancer diagnosis, the stage and location of the tumor, and the appropriateness of intra-arterial chemotherapy for the particular case. Documentation should clearly justify the choice of intra-arterial administration over other methods.
The physician is responsible for placing the intra-arterial catheter, administering the chemotherapy drug, and monitoring the patient for any adverse reactions.
In simple words: This procedure involves delivering chemotherapy directly to a tumor through a small tube inserted into an artery. The doctor inserts the tube into the artery feeding the tumor and quickly injects the medicine. This method helps the medicine reach the tumor faster and more effectively. The doctor stays with the patient throughout the procedure, which takes about 15 minutes or less, to monitor the process.
This code refers to the administration of chemotherapy drugs through an intra-arterial push technique.This involves placing a catheter into the artery that directly leads to the targeted treatment area and delivering the drug through the catheter's port. This method ensures that the drug reaches the tumor site quickly and directly.This code is used for infusions lasting 15 minutes or less or injections where the provider must be continuously present for administration and patient observation.
Example 1: A patient with liver cancer receives chemotherapy through an intra-arterial push directly into the hepatic artery., A patient with a head and neck tumor receives chemotherapy through an intra-arterial push to target the affected area., A patient with an extremity sarcoma receives chemotherapy via an intra-arterial push to deliver a high concentration of the drug directly to the tumor site.
Documentation should include the type of chemotherapy drug administered, the dosage, the site of administration, the start and end times of the infusion, and any adverse reactions observed. The medical record must also support the medical necessity of the procedure.
- Specialties:Medical Oncology, Interventional Radiology, Surgical Oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center