CPT Knowledgebase - Jan 2, 2024

In review of submitted claims, I found that CPT codes 96420, Chemotherapy administration, intra-arterial; push technique, 96422, infusion technique, up to 1 hour, ✚ 96423, infusion technique, each additional hour (List separately in addition to code for primary procedure), and 96425, infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump have been reported in the facility setting even though the guidelines state that they are not intended to be reported in this setting. Why are these codes not intended for a physician or other qualified health care professional to report in a facility setting? Are there any other CPT codes in this range not intended for a physician or other qualified health care professional to report in a facility?

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