MLWILLINGHAM
Networker
Infectious Disease -
Patient is being infused with 2 different drugs 4 hours apart - receives the first infusion of TigeCycline (J3243) & Cilastatin (J0743) leaves the office and returns later the same day (3-4 hour rest period) and receives a second infusion of the same drugs.
Medicare is denying second infusion charges as duplicate.
Modifier suggestions?
or do I ...
Do I need to combine total infusion time and only charge one initial (96365) ?
Patient is being infused with 2 different drugs 4 hours apart - receives the first infusion of TigeCycline (J3243) & Cilastatin (J0743) leaves the office and returns later the same day (3-4 hour rest period) and receives a second infusion of the same drugs.
Medicare is denying second infusion charges as duplicate.
Modifier suggestions?
or do I ...
Do I need to combine total infusion time and only charge one initial (96365) ?