Oncology & Hematology Coding Alert

Case Study:

Tackle This Infusion Coding Service Successfully From Start to Finish

See what the authorities say about billing concurrent saline -- CPT and HCPCS. Six hours of infusions can include multiple reportable services and supplies for your claim. But spotting services and supplies you should not report may be the toughest part of your day. Work your way through this scenario, offered by Jennifer Huntley, office manager for Kashif H. Ansari, MD, PA, in Baytown, Texas, to find important guidelines you can apply to your next infusion claim. Initial Code Often Differs From First Service You should choose your initial infusion code based on the main reason for the patients visit (chemotherapy in this case) rather than based solely on the order administered, according to CPT guidelines. 96409: Your initial code, therefore, should be for the 5FU intravenous push (IVP):96409 (Chemotherapy administration; intravenous, push technique, single or initial substance/drug). If you bear the cost of the 5FU, report one unit of J9190 [...]
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