CPT® Code 96369

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)

A subcutaneous infusion for therapy or prophylaxis is a medical procedure coded as CPT® 96369, which involves the administration of a specified substance or drug through the subcutaneous tissue for an initial duration of up to one hour. This procedure includes essential components such as the setup of the infusion pump and the establishment of the infusion site(s). During the procedure, healthcare professionals utilize aseptic techniques to ensure safety and minimize the risk of infection. A sterile syringe and needle are employed to withdraw the prescribed medication, which is then transferred into the pump reservoir. The preparation of the pump and tubing is crucial for the successful delivery of the medication. The selection of infusion sites is based on the total dosage required and may include common areas such as the abdomen, upper buttocks, lateral thigh or hip, and upper arm. Each selected site is prepped with an antiseptic solution to maintain sterility. A needle is inserted into the subcutaneous tissue at each site, and verification is performed to ensure proper placement by checking for blood flow. Once confirmed, the needles are secured with tape, and the medication is administered. For any additional hours of infusion beyond the initial hour, CPT® 96370 should be used, while CPT® 96371 is applicable for each additional pump setup with new infusion sites.