Data Updated for Q4 2018
CPT Code: 96402
Description: Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic
Status Code
A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation
Global Days
XXX
The global concept does not apply to the code.
Medicare RUVs and Fees
Work RVU – 0.19
Malpractice RVU – 0.01
Facility RVU – 0.67
Non-Facility RVU – 0.67
Facility Total RVU – 0.87
Non-Facility Total RVU – 0.87
Medicare National Facility Total Payment – $31.32
Medicare National Non-Facility Total Payment – $31.32
Bundling Information
Includes
11900, 11901, 36591, 36592, 64450, 64486, 64487, 64488, 64489, 90772, 96372, 96377, 96521, 96522, 96523, 99185, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99281, 99282, 99283, 99284, 99285, 99289, 99291, 99293, 99294, 99295, 99296, 99298, 99299, 99300, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99354, 99355, 99358, 99359, 99431, 99432, 99433, 99435, 99440, 99455, 99456, 99477, 99483, 99497, 99497, C8956, G0463, G0505
Included In
99217, 99218, 99219, 99220, 99221, 99222, 99223, 99224, 99225, 99226, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99251, 99252, 99253, 99254, 99255, 99281, 99282, 99283, 99284, 99285, 99289, 99291, 99293, 99294, 99295, 99296, 99298, 99299, 99300, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99431, 99432, 99433, 99435, 99440, 99460, 99461, 99462, 99463, 99465, 99466, 99468, 99469, 99471, 99472, 99475, 99476, 99477, 99478, 99479, 99480, 99485, 99486, G0380, G0381, G0382, G0383, G0384, G0406, G0407, G0408, G0425, G0426, G0427, G0508, G0509
Mutually Exclusive
90769, 96369
If you get stuck finding the right Code, take a look at our 5 Ways to Find the Most Appropriate CPT Code.
Related CPT Codes
| CPT Code | Description |
|---|---|
| 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |
| 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |
| 96402 | Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic |
| 96405 | Chemotherapy administration; intralesional, up to and including 7 lesions |
| 96406 | Chemotherapy administration; intralesional, more than 7 lesions |
| 96409 | Chemotherapy administration; intravenous, push technique, single or initial substance/drug |
| 96411 | Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure) |
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) |
| 96416 | Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump |
| 96417 | Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) |
| 96420 | Chemotherapy administration, intra-arterial; push technique |
| 96422 | Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour |
| 96423 | Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure) |
| 96425 | Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump |
| 96440 | Chemotherapy administration into pleural cavity, requiring and including thoracentesis |
| 96446 | Chemotherapy administration into the peritoneal cavity via indwelling port or catheter |
| 96450 | Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture |
