• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 96365 billed?

Create Wiki
P

prirs1985

Networker
Messages
48
Location
Savannah, GA
Best answers
0
For critical care, doctor ordered alteplase-open cath for patient, but didn't document that doctor started IV. Doctor wanted me to bill 99291-25 and 96365. Is this appropriate? Please advice.
 
Alteplase given for the purpose of occlusion is billed with 36593 (Declotting by thrombolytic agent of implanted vascular access device or catheter.) Alteplase is not infused but is simply pushed into the occluded dwelling and allowed to set to dissolve the occlusion.
 
Did this take place in a facility? 96365 is an incident-to code and isn't payable to a physician in a hospital setting. A physician also may not bill incident to in a facility so may not bill for services just ordered and not personally performed. If by odd chance this took place in the physician's own office and was performed by his or her own ancillary staff, then it could potentially be billed this way if documentation supported it.
 
Last edited:
You must log in or register to reply here.
Top