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96485

96485 is a CPT (Current Procedural Terminology) code used in the United States to report the administration of a therapeutic, diagnostic, or preventive injection or infusion given by a healthcare professional. The code is part of the CPT category that covers drug administration, which describes the act of delivering a medication rather than the medication itself. It is typically used for the initial administration of injectable therapies, including certain intravenous or subcutaneous infusions, and is commonly employed by physicians, nurse practitioners, physician assistants, and other qualified clinicians.

In practice, 96485 is applied when a patient receives an injectable or infusion-based therapy that does not

CPT 96485 is often used for treatments such as certain biologic therapies or other injectable medications

have
a
more
specific,
separate
code.
The
medication
being
administered
is
billed
separately
with
its
own
drug
or
biologic
code
(such
as
an
HCPCS
J-code
or
a
similar
medication
code),
while
96485
documents
the
administration
event
itself.
Documentation
generally
includes
the
drug
or
biologic
agent,
the
route
of
administration,
the
dosage,
the
starting
time,
and
the
patient’s
status
during
administration.
Payers
may
require
additional
modifiers
to
indicate
factors
such
as
duration,
complexity,
or
whether
the
service
was
provided
on
the
initial
encounter.
that
are
given
by
injection
or
infusion.
It
is
one
of
several
codes
in
the
96365–96499
range
that
cover
various
routes
and
durations
of
drug
administration.
The
exact
usage
and
requirements
can
vary
by
payer
and
CPT
edition,
so
clinicians
and
billers
routinely
consult
the
current
CPT
manual
and
payer-specific
guidelines.