CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 96361
Related Codes Table
| Code | Description |
|---|---|
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
| 96365 | Intravenous infusion for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
| 96366 | Intravenous infusion for therapy, prophylaxis, or diagnosis; each additional hour (List separately in addition to code for primary procedure) |
| 96367 | Intravenous infusion for therapy, prophylaxis, or diagnosis; each additional sequential infusion (different substance or drug) |
| 96368 | Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour |
Commonly Billed With
CPT code 96361 is commonly billed with CPT codes 36415 (Routine venipuncture) and 96372 (Therapeutic, prophylactic, or diagnostic injection).
Clinical Scenarios
Patient with severe dehydration:
In this scenario, CPT code 96361 may be used when providing intravenous hydration to a patient with severe dehydration.
Patient undergoing chemotherapy:
CPT code 96361 can be utilized when administering intravenous hydration to a patient undergoing chemotherapy treatment.
Patient with renal impairment:
If a patient with renal impairment requires intravenous hydration, CPT code 96361 may be applicable.
FAQ
Can CPT code 96361 be used for initial hydration?
No, CPT code 96361 is specifically for each additional hour of intravenous hydration beyond the first hour.
Is CPT code 96361 time-based?
Yes, CPT code 96361 is time-based and should be reported for each additional hour of intravenous hydration provided.
Can CPT code 96361 be reported multiple times in a single day?
Yes, if multiple hours of intravenous hydration are administered on the same day, CPT code 96361 can be reported multiple times.
Does CPT code 96361 include the primary procedure?
No, CPT code 96361 is an add-on code and should be reported in addition to the primary procedure being performed.
When should modifier -59 be used with CPT code 96361?
If reporting multiple infusions on the same day with CPT code 96361, modifier -59 may be necessary to indicate that the services are distinct and separate from each other.
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