Find policies, billing codes, payers, states, and providers
CPT 96422: Intra-arterial Chemotherapy Infusion, First Hour
CPT code 96422 identifies the initial hour of intra-arterial chemotherapy infusion using an infusion technique. The code captures a specialized, procedure-based chemotherapy delivery method that concentrates cytotoxic agents in the vascular territory of a tumor, often used in interventional oncology and complex infusion programs. Nationally, accurate coding for intra-arterial infusions affects clinical documentation, claims adjudication, and consistent reporting of high-complexity oncology procedures.
Key payers addressed in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical and service context for CPT code 96422, plus an outline of typical sites of service and common operational considerations. The publication provides benchmarking and policy context where available, highlights coding boundaries for the initial hour of infusion, and summarizes implications for billing workflows and claims processing. Where specific payer policies, fee schedules, or applicable modifiers are not provided in the input, the text notes that those details are not available.
This summary is intended for national audiences including coding professionals, revenue cycle managers, and clinical teams involved in interventional oncology and chemotherapy delivery, offering a clear reference to support accurate use of CPT code 96422.
Customize your policy alerts
Sign up for cpt 96422 policy alerts
Get alerted when payer policies referencing 96422 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 96422 describes intra-arterial chemotherapy infusion using an infusion technique for the first hour of infusion time. This procedure involves delivery of a chemotherapy agent directly into an artery supplying the target tissue, typically performed by a specialist trained in vascular access and interventional oncology.
Service Type: Intra-arterial chemotherapy infusion, infusion technique (initial hour)
Typical Site of Service: Hospital outpatient department or interventional radiology suite
Data not available in the input.