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2025 CPT code 96423

This add-on code reports each additional hour of intra-arterial chemotherapy infusion, beyond the initial hour (96422).

Refer to the current CPT manual for detailed coding guidelines and specific instructions regarding add-on codes and intra-arterial chemotherapy administration.Always cross-reference with payer-specific guidelines.

Modifiers 59 (Distinct Procedural Service) may be appended if the service is distinct from other services performed on the same day.Other modifiers may be needed based on specific circumstances as defined in the CPT manual.

Medical necessity is established by the presence of a malignant or other condition that would benefit from this targeted drug delivery method. The documentation must clearly justify the choice of intra-arterial infusion over other routes of administration.Specific clinical indicators will depend upon the diagnosis and treatment goals.

The physician or other qualified healthcare professional is responsible for overseeing the entire procedure, including patient assessment, informed consent, safety monitoring, and direct supervision of the staff administering the infusion.Advanced practice training and competency are typically required for staff involved in this type of highly complex infusion.

IMPORTANT:Use in conjunction with 96422. For regional chemotherapy perfusion via membrane oxygenator perfusion pump to an extremity, use 36823 instead.

In simple words: This code is for extra time spent giving chemotherapy drugs directly into an artery. It's only used if the treatment lasts longer than the first hour, and only for each extra hour (or part of an hour, after 30 minutes).

CPT code 96423, an add-on code, represents each additional hour of intra-arterial infusion of chemotherapy or other highly complex drugs/biologic agents.It follows the initial hour of infusion reported with 96422. The code is used only when the infusion extends beyond the first hour in increments of 30 minutes or more. This procedure involves administering the chemotherapeutic agent into an artery directly supplying the target area, allowing for immediate drug delivery.The physician or qualified healthcare professional must directly supervise the procedure, including patient assessment, consent, safety oversight, and staff supervision.This is distinct from other infusions due to the higher risk of adverse reactions requiring frequent monitoring and potential adjustments to infusion rates.

Example 1: A patient with advanced liver cancer undergoes intra-arterial hepatic artery infusion of chemotherapy. The initial hour is coded 96422, and each subsequent hour is coded 96423. The patient receives 3 hours of infusion, requiring two instances of 96423. , A patient with a localized extremity tumor receives intra-arterial infusion chemotherapy. The first hour is billed with 96422; additional hours over 30 minutes are billed with 96423. 2.5 hours of infusion requires 1 instance of 96423., A patient receives intra-arterial chemotherapy for a brain tumor.The initial hour is coded 96422.The infusion lasts 2 hours and 15 minutes, therefore one instance of 96423 is billed.

Detailed documentation is required, including:patient demographics; diagnosis; type and amount of chemotherapeutic agent administered; infusion site, access method; total infusion time; any adverse events during the procedure; physician's orders and notes; nurse's notes describing the process and monitoring; and any relevant images or lab results.

** This code is specifically for intra-arterial infusion.It should not be used for other routes of administration.Always ensure accurate documentation supports the use of this add-on code to prevent payment denials.

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