Knock +96415, +96417 Claims Out of the Park With This Case Study's Help
Published on Sun Sep 27, 2009
Take the mystery out of 'each additional sequential infusion' vs. 'each additional hour.' If you fall prey to a common subsequent infusion trap, you could face requests for multiple $40 refunds. Keep your hard-earned dollars with this look at reporting additional hours of subsequent chemotherapy infusions. Is +96417 x 2 the Proper Choice? Scenario: You've coded a patient's initial chemotherapy infusion. Now you need to code a subsequent chemotherapy infusion that lasted longer than 90 minutes. You determine that for the subsequent infusion's first hour, you should report +96417 (Chemotherapy administration, intravenous infusion technique; each additional sequential infusion [different substance/drug], up to 1 hour [List separately in addition to code for primary procedure]). Now you have to decide how to report the additional time beyond that hour. Should you report +96417 again or report +96415 (... each additional hour [List separately in addition to code for primary procedure])? Solution: The [...]