CPT® Code (v2024B1)

Specifications Manual for Joint Commission National Quality Measures (v2024B1)

Posted: 09/24/2024

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Release Notes:
Data Element
Version 2024B1

Name:

CPT® Code

Collected For:

All Records

Definition:

The Current Procedural Terminology (CPT®) code associated with this outpatient encounter.

Question:

What was the CPT® code selected for this outpatient encounter?

Format:

Length:	5
Type:	Alphanumeric
Occurs:	1

Allowable Values:

Any valid CPT® code from the inclusion list below:

96360 Intravenous (IV) infusion, hydration
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis
96374 Therapeutic, prophylactic or diagnostic injection; IV push
96409 Chemotherapy administration; IV, push technique
96413 Chemotherapy administration, IV infusion technique
96416 Initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump

Notes for Abstraction:

None

Suggested Data Sources:

Nursing notes
Progress notes
Medication administration record (MAR)
Billing records
Chemotherapy flow sheets

Additional Notes:

Guidelines for Abstraction:

Inclusion

Exclusion

CPT® Code:

96360 Intravenous (IV) infusion, hydration
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis
96369 Subcutaneous infusion for therapy or prophylaxis
96374 Therapeutic, prophylactic or diagnostic injection; IV push
96409 Chemotherapy administration; IV, push technique
96413 Chemotherapy administration, IV infusion technique
96416 Initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump

None

Specifications Manual for Joint Commission National Quality Measures (v2024B1)
Discharges 10-01-24 through 12-31-24 (4Q24)

End User Agreement

LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (“CPT®”)

You, your employees and agents are authorized to use CPT® only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. You acknowledge that the American Medical Association (“AMA”) holds all copyright, trademark and other rights in CPT®.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT® for resale and/or license, transferring copies of CPT® to any party not bound by this Agreement, creating any modified or derivative work of CPT®, or making any commercial use of CPT®. License to use CPT® for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt.

U.S. Government Rights This product includes CPT® which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. The American Medical Association does not agree to license CPT® to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. The American Medical Association reserves all rights to approve any license with any Federal agency.

Disclaimer of Warranties and Liabilities. CPT® is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT®, and the (AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

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