CPT Drug Administration Code Reimbursement

CPT drug administration codes are the procedure codes billed for giving a drug, covering infusion, injection, and chemotherapy administration. They are reported separately from the drug product itself.

20610

Administration Code

HCPCS Descriptor: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance

66030

Anterior Chamber Eye Injection

HCPCS Descriptor: Injection, anterior chamber of eye (separate procedure); medication

96377

Application Of On-Body Injector

HCPCS Descriptor: Application of on-body injector (includes cannula insertion) for timed subcutaneous injection

27412

Autologous Chondrocyte Implantation, Knee

51720

Bladder Instillation Of Anticarcinogenic Agent

HCPCS Descriptor: Bladder instillation of anticarcinogenic agent, including retention time

94070

Bronchospasm Provocation Evaluation

HCPCS Descriptor: Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (e.g., antigen[s], cold air, methacholine)

61210

Burr Hole(S); For Implanting Ventricular Catheter

HCPCS Descriptor: Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure)

38225

HCPCS Descriptor: Chimeric antigen receptor T cell (CAR T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR T cells, per day

66984

Cataract Surgery

HCPCS Descriptor: Uncomplicated cataract surgery

64616

Chemodenervation Of Muscle

HCPCS Descriptor: Chemodenervation of muscle(s), cervical spinal muscle(s); 50 modifier for bilateral injections

96401

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic

96402

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic

96405

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration; intralesional, up to and including 7 lesions

96409

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration; intravenous, push technique, single or initial substance/drug

96411

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)

96413

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug

96415

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)

96416

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration, IV infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours) requiring use of a portable or implantable pump

96417

Chemotherapy Administration

HCPCS Descriptor: 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)

96450

Chemotherapy Administration

HCPCS Descriptor: Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture

64620

Destruction By Neurolytic Agent

HCPCS Descriptor: Destruction by neurolytic agent, intercostal nerve

78227

Diagnostic Nuclear Medicine Procedures

HCPCS Descriptor: Diagnostic Nuclear Medicine Procedures on the Gastrointestinal System

96372

HCPCS Descriptor: Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

96374

HCPCS Descriptor: Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug

81235

Egfr Gene Analysis

HCPCS Descriptor: EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)

62369

Electronic Analysis Of Implanted Pump

HCPCS Descriptor: Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill

38241

Hematopoietic Progenitor Cell Transplantation

HCPCS Descriptor: Hematopoietic progenitor cell (HPC); autologous transplantation

90935

Hemodialysis Procedure

HCPCS Descriptor: Hemodialysis procedure with single evaluation by a physician or other qualified healthcare professional

80076

Hepatic Function Panel Test

HCPCS Descriptor: Hepatic function panel test in which the blood levels of protein, albumin, alkaline phosphatase, bilirubin, and liver enzymes are measured

90460

Immunization Administration

HCPCS Descriptor: Immunization administration via any route, first vaccine/toxoid component

90471

Immunization Administration

HCPCS Descriptor: Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)

11981

Implant Administration

HCPCS Descriptor: Insertion of single non-biodegradable implant

64455

Injection Of Anesthetic Agent

HCPCS Descriptor: Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

62322

Injection Of Diagnostic Substance

HCPCS Descriptor: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance

68841

Insertion Of Drug-Eluting Implant

HCPCS Descriptor: the insertion of a drug-eluting implant into the lacrimal caliculus, including punctal dilation

58300

Intrauterine Device Administration

HCPCS Descriptor: Insertion, intrauterine device

96360

Intravenous Infusion

HCPCS Descriptor: Intravenous infusion, hydration; initial, 31 minutes to 1 hour

96361

Intravenous Infusion

HCPCS Descriptor: Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)

96365

Intravenous Infusion

HCPCS Descriptor: Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour

96366

Intravenous Infusion

HCPCS Descriptor: Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

96367

Intravenous Infusion

HCPCS Descriptor: Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)

96368

Intravenous Infusion

HCPCS Descriptor: Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)

67027

Intravitreal Implant

HCPCS Descriptor: Implantation of intravitreal drug delivery system, includes concomitant removal of vitreous

67028

Intravitreal Injection

HCPCS Descriptor: Intravitreal injection of a pharmacologic agent (separate procedure) 67028

78811

HCPCS Descriptor: Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)

78812

HCPCS Descriptor: Positron emission tomography (PET) imaging; skull base to mid-thigh

67221

Photodynamic Therapy

HCPCS Descriptor: Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion)

96567

Photodynamic Therapy

HCPCS Descriptor: Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa (eg, lip) by activation of photosensitive drug(s), per day

79101

Radiopharmaceutical Therapy

HCPCS Descriptor: Radiopharmaceutical therapy, by intravenous administration

96369

Subcutaneous Infusion

HCPCS Descriptor: Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)

67516

Suprachoroidal Injection

HCPCS Descriptor: Suprachoroidal injection of a pharmacologic agent; does not include supply of medication

37195

Thrombolysis By Intravenous Infusion

HCPCS Descriptor: Thrombolysis, cerebral, by intravenous infusion

67036

HCPCS Descriptor: Vitrectomy, mechanical, pars plana approach