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Pulmonology Coding Alert

Reader Questions:

How Does CPT® Define an Hour of Service?

Published on Thu Jun 06, 2024

Question: Could you explain the difference between “first hour” codes and “up to 1 hour” codes? South Dakota Subscriber Answer: Differentiating between “first hour” and “up to 1 hour” codes can be tricky, even for seasoned coders, and we’re happy to break down the distinctions. CPT® codes that feature “up to 1 hour” in their descriptors, such as 96365 (Intravenous infusion, for [...]
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