96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)

Name of the Procedure:

Chemotherapy Administration, Intravenous Infusion Technique; Each Additional Hour
Common name(s): IV Chemotherapy, Chemotherapy Infusion

Summary

Chemotherapy administration using an intravenous (IV) infusion technique involves delivering cancer-fighting drugs directly into the bloodstream. This specific description covers the administration that lasts for each additional hour beyond the initial primary procedure.

Purpose

Chemotherapy is used to treat cancer by killing or stopping the growth of cancer cells. The goal of the procedure is to reduce the size of the tumor, eliminate remaining cancer cells after surgery, or control the disease's spread and growth.

Indications

• Diagnosed with various types of cancer, including leukemia, lymphoma, breast cancer, lung cancer, and others.
• Specific treatment protocols that require extended or continuous infusion of chemotherapy drugs.

Preparation

• Pre-procedure assessments including blood tests to determine organ functionality.
• Patients are often advised to stay hydrated and eat light meals.
• Medication review to manage potential interactions.
• Patients may need to arrange transportation home after the infusion.

Procedure Description

1. A healthcare professional inserts an IV catheter, often into a vein in the arm.
2. The chemotherapy drug is mixed and prepared according to the prescribed dose.
3. The drug is administered slowly over a specified period, monitored by the medical staff.
4. Each additional hour involves continuous monitoring and adjustment to ensure the proper drug delivery rate.
5. Vital signs are frequently checked to monitor for adverse reactions.

Duration

The duration for each additional hour varies based on the specific treatment protocol and individual patient needs. The primary procedure may last 2-6 hours, with each additional hour as required.

Setting

• Typically performed in a hospital, outpatient clinic, or specialized chemotherapy infusion center.

Personnel

• Oncologists
• Chemotherapy-certified nurses
• Pharmacists (for drug preparation)
• Support staff

Risks and Complications

• Common: Nausea, vomiting, fatigue, hair loss, and temporary low blood counts.
• Rare: Severe allergic reactions, infection at the catheter site, vein damage, and organ toxicity.
• Management: Immediate medical attention for severe reactions, medication to manage side effects, and monitoring for signs of complications.

Benefits

• Potential reduction or elimination of cancer cells.
• Can shrink tumors before surgery.
• Control of cancer spread, improving survival rates and quality of life.
• Benefits are typically observed over the course of several treatment cycles.

Recovery

• Post-procedure care includes hydration, rest, and managing side effects.
• Follow-up appointments to monitor the response to therapy and blood count levels.
• Recovery time varies with some patients experiencing fatigue for several days post-infusion.

Alternatives

• Oral chemotherapy drugs.
• Radiation therapy.
• Surgery.
• Alternate or complementary treatments may have different efficacy rates and side effect profiles.

Patient Experience

Patients may feel a range of sensations during the infusion, including cold sensations at the IV site, mild discomfort from staying still, and possible fatigue. Pain management includes medications to prevent or reduce nausea and other side effects. Comfort measures like pillows, blankets, and entertainment options are often provided to help pass the time comfortably.