2025 HCPCS code Q0085

Chemotherapy administration by both infusion and other routes (e.g., subcutaneous, intramuscular, IV push) in a single visit.

This code was discontinued in 2004 and should no longer be used. Alternative HCPCS or CPT codes should be used depending on the specific chemotherapy administration methods employed. Payer guidelines should be consulted for acceptable codes and billing practices.

Medical necessity for chemotherapy is determined by the treating physician and should be documented in the patient's medical record.The documentation must support the diagnosis of cancer and the appropriateness of the chemotherapy regimen being administered.

The provider is responsible for preparing and administering the chemotherapy medication using both infusion and other appropriate techniques as ordered by the treating physician.This includes confirming patient identity, verifying the medication and dosage, selecting appropriate infusion devices and injection sites, ensuring sterile technique, monitoring the patient during administration, and managing any adverse reactions.

IMPORTANT For chemotherapy administration by infusion only, use Q0084. For chemotherapy administration by routes other than infusion, use Q0083.CPT codes 96401-96549 also represent chemotherapy administration.

In simple words: This code covers giving chemotherapy medicine through a drip into the vein and also through a shot under the skin, into the muscle or directly into vein, all during the same visit.

This code represents the administration of chemotherapy using a combination of infusion and other methods like subcutaneous, intramuscular, or intravenous push during the same visit.It is used to report a single visit where chemotherapy is administered by multiple routes.

Example 1: A patient receives chemotherapy through an IV infusion and also receives a subcutaneous injection of a chemotherapy agent during the same visit., A patient receives an intravenous push of chemotherapy followed by a continuous infusion of another chemotherapy drug., A patient with difficult venous access has part of their chemotherapy dose administered through an intramuscular injection and the remainder through a central line infusion.

Documentation should include the name and dosage of each chemotherapy drug administered, the route of administration (infusion, subcutaneous, intramuscular, IV push), the start and end times of the infusion, the site of injections, any adverse reactions, and the physician's order for the chemotherapy treatment.

** Although this code is no longer valid, understanding its historical context is important for accurate coding and billing of chemotherapy services. Always check with individual payers for their specific coding and billing guidelines.

  • Revenue Code: 0335 (Chemotherapy Admin - IV)
  • Payment Status: Invalid
  • Specialties:Oncology, Hematology
  • Place of Service:Office, Outpatient Hospital, Clinic, Inpatient Hospital (if administered during an inpatient stay), and other places of service authorized for chemotherapy administration.
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