I am seeking help with chemo sequential drugs.
4 chemo drugs given sequentially:
Perjeta 1500-1600 (1hr)
Taxotere 1600-1700 (1 hr)
Carboplatin 1700-1800 (1hr)
Herceptin 1800-1900 (1hr)
billed out as 96413 x1
96417 x3
and we are getting rejections on the 96417 number of units. I cannot locate an MUE edit for this code.
Co-worker says to bill 96413x1, 96417 x3-59 which would indicate sep drugs were given
another says bill 96413 x1, 96417x1, 96415x2 (under the impression 96417 can only be billed once per encounter)
help! please.............
4 chemo drugs given sequentially:
Perjeta 1500-1600 (1hr)
Taxotere 1600-1700 (1 hr)
Carboplatin 1700-1800 (1hr)
Herceptin 1800-1900 (1hr)
billed out as 96413 x1
96417 x3
and we are getting rejections on the 96417 number of units. I cannot locate an MUE edit for this code.
Co-worker says to bill 96413x1, 96417 x3-59 which would indicate sep drugs were given
another says bill 96413 x1, 96417x1, 96415x2 (under the impression 96417 can only be billed once per encounter)
help! please.............