kathleeng
Guru
How to bill initiation of pump for 3 drugs given for 1 pump- I know 96416 is for the initiation and can only be billed once, however I'm trying to determine what code do we use to bill a secondary drug initiated on the same pump. Guidelines state: "Do not report the initial infusion code, 96416, for subsequent infusions using the same pump. And do not use refill code 96521 for initiation.", but no further clarification is found on what code to use for subsequent infusions using the same pump on same encounter. Any feedback on this area?
In addition to the above question, has anyone been able to find guidelines on the frequency of billing 96416? We have received denials that we have reached max allowed of billing frequency.
In addition to the above question, has anyone been able to find guidelines on the frequency of billing 96416? We have received denials that we have reached max allowed of billing frequency.
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