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CPT® Code 96420 refers to the administration of chemotherapy via an intra-arterial push technique, which is a targeted method used for treating malignant neoplasms. In this procedure, a chemotherapy drug is delivered directly into an artery, allowing for a concentrated dose of medication to reach the tumor site more effectively. This method is often described as regional or isolation chemotherapy perfusion, emphasizing its localized approach to treatment. The intra-arterial injection is performed to ensure that the chemotherapy agent is administered directly to the blood supply of the affected organ or area, maximizing its therapeutic effect while potentially minimizing systemic exposure. The administration typically occurs over a brief duration, generally taking less than 15 minutes, which is crucial for maintaining the efficacy of the drug and managing patient comfort during the procedure. Additionally, this procedure requires separate reporting of arterial catheterization, which is conducted under radiologic supervision to facilitate the precise delivery of the chemotherapy substance to the targeted site.
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The intra-arterial push technique for chemotherapy administration is indicated for the treatment of malignant neoplasms. This method is particularly beneficial in cases where localized delivery of chemotherapy is necessary to target tumors effectively while reducing systemic side effects. The following conditions may warrant the use of this procedure:
The procedure for administering chemotherapy via the intra-arterial push technique involves several critical steps to ensure effective delivery of the medication. Each step is designed to facilitate the precise administration of the chemotherapy agent directly to the tumor site.
After the intra-arterial chemotherapy administration, patients may require monitoring for any immediate adverse reactions to the chemotherapy agent. Post-procedure care typically includes observation for signs of complications, such as bleeding at the catheter insertion site or systemic effects from the chemotherapy. Patients may also be advised on follow-up appointments to assess the treatment's effectiveness and manage any side effects that may arise. It is essential to provide patients with information regarding potential symptoms to watch for and when to seek medical attention following the procedure.
| Short Descr | CHEMO IA PUSH TECNIQUE | Medium Descr | CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ | Long Descr | Chemotherapy administration, intra-arterial; push technique | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 5 - Incident To Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | P7B - Oncology - other | MUE | 1 | CCS Clinical Classification | 224 - Cancer chemotherapy |
| 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GC | This service has been performed in part by a resident under the direction of a teaching physician | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2011-01-01 | Changed | Short description changed. |
| 1990-01-01 | Added | First appearance in code book in 1990. |
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