Oncology & Hematology Coding Alert

Reader Questions:

Don't Code Disconnect Without Checking Payer

Question: Is there a 24-hour pump disconnect code, or should we code an office visit?Connecticut SubscriberAnswer: There is no separate pump disconnect code.Many payers consider the disconnection to be incidental to the initiation (96416, Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion [more than 8 hours], requiring use of a portable or implantable pump).Other payers may allow you to report the disconnection separately with a low-level E/M service code, such as 99211 (Office or other outpatient visit for the evaluation and management of an established patient...). As always, documentation should support any CPT code you bill. Clinical and coding expertise for You Be the Coder and Reader Questions provided by Kelly C. Loya, CPC-I, CPhT, managing consultant with Sinaiko Healthcare Consulting Inc.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more