Injections or infusions diagnostic & therapeutic procedures G381 - Standard chemotherapy - agents with minor toxicity that require physician monitoring

General Info

Billing Amount: $0.00


Chemotherapy (pharmacologic therapy of malignancy or autoimmune disease) - with administration supervised by a physician for intravenous infusion for treatment of malignant or autoimmune disease. The physician must be available to intervene in a timely fashion at the initiation and for the duration of the prescribed therapy to manage immediate and delayed toxicities. Chemotherapy and patient assessment provided by a physician includes all patient assessments by any physician for a 24 hour period following treatment administration.


1. G381, G281, G345 and G359 are only eligible for payment with respect to the following classes of biologic agents:
a. monoclonal antibodies; and
b. cytokines.

Examples that are not considered biologic agents for payment purposes are blood products, insulin, and immunizing agents.

Examples of standard chemotherapy agents include cyclophosphamide, methotrexate, fluorouracil, leucovorin, and zoledronic acid.