Outpatient Facility Coding Alert
Stick With J Codes for Chemo Pump Day 2 Follow-Up
PDF
Question: A patient came to our facility for chemotherapy (day 1). She has a 48-hour pump that she goes home with. When she comes back on day 2 to have the pump de-accessed, how do we bill for that day? An auditor said we should only bill J1642 and J7050 for pump removal because we didn’t administer any other drugs that day and that we couldn’t bill a port flush since we used the same needle from day 1. Is this correct?
Ohio Subscriber
Answer: Yes, you should only report J1642 (Injection, heparin sodium [heparin lock flush], per 10 units) and J7050 (Infusion, normal saline solution, 250 cc).
According to CPT®, a port flush 96523 (Irrigation of implanted venous access device for drug delivery systems) is not separately billable when a drug infusion or injection is provided on the same day. For Medicare patients, a port flush is only billable when no other Medicare Physician Fee Schedule service is provided.
Outpatient Facility Coding Alert
- Reimbursement:
Watch for a Boost in Medicare Pay for 2013
CMS final rule increases ASC payment rates, adds 25 procedures. Ambulatory surgery center payment [...] - Radiology Billing:
Coding for Multiple Locations? Clue in to the Latest on Proper Place of Service Assignments
Latest Medicare info directs you to focus on where the beneficiary was at time [...] - Pain Management:
Tighten Up Your Dupuytren's Contracture Coding
Here’s how: Narrow your choices by surgery, injection, or follow-up. Your injection coding got [...] - Condition 101:
Dupuytren's Contracture Defined
In Dupuytren’s contracture (728.6, Contracture of palmar fascia), the patient experiences a thickening and contracture [...] - ICD-10:
Diagnosis Coding Gets More Specific for Barrett's Esophagus in 2014
Tip: Dig into dysplastic changes to narrow your code choices. Barrett’s esophagus is a [...] - You Be the Coder:
Making the Choice for Rhytidectomy
Question: One of the dermatologists at our center removed excess skin from a patient’s neck. [...] - Reader question:
Turn to 320 for Diagnostic Radiology Revenue Code
Question: What is the appropriate revenue code for procedures our outpatient center would report with [...] - Reader question:
You Can Bill Together For Tenotomy and Debridement
Question: Is it true that we cannot bill 23405 (Tenotomy, shoulder area; single tendon) with [...] - Reader question:
Stick With J Codes for Chemo Pump Day 2 Follow-Up
Question: A patient came to our facility for chemotherapy (day 1). She has a 48-hour [...]