96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | May be used to report infusion administration time components for initial infusion monitoring if payer accepts alongside the drug HCPCS billing rules. |
96366 | Each additional hour (list separately in addition to code for primary infusion) | Use when infusion monitoring extends beyond the first hour and payer allows time‑based infusion administration coding. |
96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | Not typically used for intravenous gene therapy; may be reported for concurrent IM/SQ injections (e.g., vaccines or steroids) given the same day if separately documented. |
36415 | Collection of venous blood by venipuncture | Used for baseline and serial laboratory monitoring (liver enzymes, platelet counts) associated with onasemnogene abeparvovec administration. |
94010 | Breathing capacity test (spirometry) | Applicable when baseline or follow‑up respiratory function testing is required for clinical assessment in SMA patients. |
99354 | Prolonged evaluation and management service in the office or other outpatient setting, face-to-face, first hour (add-on) | May be used for extended face‑to‑face time for complex consent, education, or monitoring visit when documentation supports prolonged services and payer accepts add‑on coding. |