CPT 96374: IV Push, Single/Initial Substance
Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug. Administration of medication by IV push technique.
Why CPT 96374 Claims Get Denied
Claims billed under CPT 96374 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.
Missing NDC code for the administered drug
Drug not covered under the patient's pharmacy or medical benefit
Bundled with the drug administration code
Medical necessity not established for the injection
Billing Tips for CPT 96374
Bill the drug separately using the appropriate HCPCS J-code. Include the NDC for the specific drug administered. Document the medical necessity for IV administration rather than oral or IM routes. Bill 96375 for each additional sequential IV push.
Documentation Requirements
To support a clean claim for CPT 96374, your clinical documentation should include:
Order for IV medication administration
Drug name, dose, and NDC
Start and stop times
Route of administration
Patient monitoring notes
Clinical indication for IV route
Common Modifiers for CPT 96374
Reduce CPT 96374 Denials by 60%
RediClaim's pre-submission scrubber catches documentation gaps and coding errors before you submit, while the appeal generator handles denials that slip through.