9+ CPT Code 96365 Definition: Expert Guide & More

cpt code 96365 definition

9+ CPT Code 96365 Definition: Expert Guide & More

This alphanumeric designation represents a specific medical billing code used to identify and claim payment for intravenous (IV) infusion of fluids, electrolytes, and/or drugs. It describes the procedure where a qualified healthcare professional administers a substance directly into a patient’s vein for a defined period, typically lasting between 16 and 30 minutes. For example, this code is applicable when a patient receives a saline solution infusion for hydration or a short-duration administration of an antibiotic.

Accurate and compliant use of this code is crucial for healthcare providers to receive appropriate reimbursement for services rendered. Correct coding ensures that insurance companies and other payers understand the details of the service provided, thereby facilitating timely and accurate payment. Furthermore, standardized coding practices, which include this particular code, contribute to the collection of valuable healthcare data, enabling analysis of treatment patterns and cost-effectiveness over time.

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