We bill charges for a protocol pt on study drug as:
J2469 (aloxi)
J1100 (decadron)
96416 (initiation of prolonged chemo infusion, requiring use of a pump)
96375 -59 x2 (sequential iv push)
I have been getting denials from Medicare and Horizon for 96375- due to qualifying code. We were considering the 96416 as the initial admin.
We received payments before from other insurances.
Is this right
J2469 (aloxi)
J1100 (decadron)
96416 (initiation of prolonged chemo infusion, requiring use of a pump)
96375 -59 x2 (sequential iv push)
I have been getting denials from Medicare and Horizon for 96375- due to qualifying code. We were considering the 96416 as the initial admin.
We received payments before from other insurances.
Is this right