Current Procedural Terminology (CPT*) Codes for Paclitaxel Protein-Bound
Particles for Injectable Suspension (Albumin-Bound)
CPT codes are used to indicate which medical services and procedures were performed on a patient and/or how a
drug or medical supply was administered. The following CPT codes may be used for administering Paclitaxel
Protein-Bound Particles:
Recommended CPT code for Paclitaxel Protein-Bound Particles for Injectable Suspension (Albumin-Bound)3 |
CPT Code |
Description |
96413 |
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance or drug |
International Classification of Disease, 10th Revision, Clinical
Modification (ICD-10-CM) Diagnosis Codes
ICD-10-CM diagnosis codes are used to identify a patient’s diagnosis and inform payers of why a service was provided.
ICD-10-CM is a seven-character, alphanumeric code. Each code begins with a letter, and that letter is followed by two numbers. The first three characters of ICD-10-CM are the “category.” The category describes the general type of the injury or disease. The category is followed by a decimal point and the subcategory. This is followed by up to two
subclassifications, which further explain the cause, manifestation, location, severity, and type of injury or disease.
The last character is the extension. The extension describes the type of encounter. That is, if this is the first time a
healthcare provider has seen the patient for this condition/injury/disease, it’s listed as the “initial encounter.” Every
encounter after the first is listed as a “subsequent encounter.” Patient visits related to the effects of a previous injury or disease are listed with the term “sequela.”
For a full ist of the ICD-10-CM diagnosis codes for the labeled indications for Paclitaxel Protein-Bound Particles for
Injectable Suspension (Albumin-Bound), download the Billing and Coding Guide.