Practice Quiz

Medical Coding

Category - ICD-10-CM Volumes 1 and 2

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A patient receives a prophylactic antibiotic that is started preoperatively through his IV. This antibiotic (ceftriaxone sodium, 250 mg) is infused over 30 minutes. What is the correct CPT code for this procedure?
  1. 96365, J0696
  2. 96366, J0696
  3. 96367, J0696
  4. 96368, J0696
Explanation
Answer: A - 96365 is the correct code for an intravenous infusion for therapy, prophylaxis or diagnosis for up to one-hour infusion. J0690 is the correct code for ceftriaxone sodium.
Code 96366 is incorrect because this is the add-on code for each additional hour after the first hour. Code 96367 is also incorrect because this is an add-on code for each sequential infusion of a new drug/substance over one hour. Code 96368 is incorrect because this code is the add-on code for a concurrent infusion.
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