CPT 01996 defined and usage examples
Summary:
Learn about CPT Code 01996, one of USA hospital's most used HCPCS as of 2024. We pull these descriptions and information with the assistance of our AI medical coding software (iVECoder) which has direct links to the latest guidelines and definitions directly from CMS and AMA.
Formal and Layperson Definitions of CPT Code 01996
We’ve provided both the AMA description as well as the layperson’s definition of CPT Code 01996 below so you can use it for medical notes as well as to easily teach the code to your newer medical coders and billers.
AMA Definition of CPT Code 01996
We call the AMA definitions of any code as the “rule of law”, and “red-tape”, that you must follow and know. Daily hospital management of epidural or subarachnoid continuous drug administration. It’s best to use this exact language in your documentation to gain higher approval rates for Clinics and for payers to use it during claim auditing.
How to Explain CPT Code 01996 to a New Medical Coder
Daily hospital management of continuous spinal drug administration.
Guidelines for 01996
Report code 01996 for daily hospital management of continuous epidural or subarachnoid drug administration performed after insertion of an epidural or subarachnoid catheter.
Current CMS Status of CPT Code 01996
ANESTHESIA SERVICES: There are no RVUs and no payment amounts for these codes. This value intends to facilitate the identification of anesthesia services.
01996 CPT Code General Information
01996 cpt code has a diagnostic family of 99, with no age range, and has an MUE Count of “1”, and HOS MUE Count of “1.” There are 31 different bundled codes that could be included within this code. A reminder that unbundling codes can lead to denials, or audits that leave your organization (whether clinic or payer) at a financial loss when you consider the cost of reworking, resubmitting claims, and potential financial losses due to unclean encounter data (unclean claims submitted and/or paid).
Modifiers and Places of Service for CPT Code 01996
There are currently 69 different possible modifiers that can be used in conjunction with CPT Code 01996.
01996 CPT Code Final Thoughts
01996 is a very common medical code used by hospitals every day. While looking up this code and reading this article was helpful, our AI Coding Software which is available for clinics, hospitals, and payers alike, could save you 1000s of hours per year and avoid reading long articles and incorrect information. If you’re interested in hearing more about our software solutions, please contact us today.
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