Question

QUESTION 16

Based on CPT coding guidelines, which code(s) would be reported for outpatients receiving 1 hour and 45 minutes of antibiotic infusion in the ED?

	A.	96360, 96361
	B.	96372
	C.	96374, 96375
	D.	96365, 96366

Which coding is correct for a 4-hour-long infusion of pre-packaged electrolytes and normal saline to a patient in observation status?

	A.	96365, 96366 X 3
	B.	96374, 96375 X 3
	C.	96360, 96361 X 3
	D.	Observation status patients are paid by MS-DRG, so the CPT would not be coded.

Answer 1

Question 16 Answer

Option D: 96365, 96366

According to CPT coding, The IV infusion of antibiotics for the initial one hour coded as 96365, then subsequent additional hour coded as 96366. So the other options are incorrect here.

Second Question Answer

Option C: 96360, 96361 x 3

According to CPT coding, 96360 - Initial hydration up to 1 hour; must be at least 31 minutes,

96361 - Hydration each additional hour; must be 31 minutes or longer, it should be mentioned separately. Here the IV infusion administered over 4 hours