Our quick update on 'A' and 'T' status leads you to the right infusion code
Not all infusion codes are alike. Although you may be able to collect reimbursement for 90780 if you perform IV infusion with other procedures, you should expect payers to bundle your 90784 claims into other charges.
If you report infusion codes such as 90780 (Intravenous infusion for therapy/diagnosis, administered by physician or under direct supervision of physician; up to one hour) and 90784 (Therapeutic, prophylactic or diagnostic injection [specify material injected]; intravenous), you should check the Medicare Physician Fee Schedule to guide your correct coding.
According to the fee schedule:
Don't forget: When it comes to the infusion codes 90780 and 90784, 90780 carries an "A" status. This means that 90780 is separately payable. But 90784 has a "T" status, which means that it is not separately payable if you report it with any other payable service on the same date, says Carol Pohlig, BSN, RN, CPC, senior coding and education specialist at the University of Pennsylvania department of medicine in Philadelphia.
Private payers may allow you to report 90784 for additional reimbursement, so always check your local carrier's guidelines. But remember, Medicare and any payer that follows Medicare guidelines will not reimburse you separately for 90784 when you perform it with other payable services, Pohlig says.