Prior Auth Required

96402 - Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceChemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic
Procedure / Service Description

intravenous push of the same substance/drug provided in a facility (List separately in addition to code for - 96379 Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion 96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic 96402 Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic 96405 Chemotherapy administration; intralesional, up to and including 7 lesions 96406 Chemotherapy administration; intralesional, more than 7 lesions

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.