Physician has his own pharmacy, sends medications home with patients.
Uses the following codes:
Home infusion therapy: S9500, S9501, S9502 (one of these 3 depending on the number of times the person infuses per day); they bill this code per diem
Equipment and supplies: A4221, A4222, A4218, A4305
Medication: J3370, J1642, J7040, J7050, J2405
97535 - education/training
96365 - infusion at initial visit in the office
96374 - at initial visit
What is the proper coding and place of service? Am I correct that if they bill for S9500 - S9502 this includes the supplies so they should bill either S9500-S9502 or the A codes along with the drugs.
On another discussion post relating to home infusion, it was suggested that if the physician owns the pharmacy they should be billing the drugs as a dispensing pharmacy?
Any guidance would be appreciated!
Uses the following codes:
Home infusion therapy: S9500, S9501, S9502 (one of these 3 depending on the number of times the person infuses per day); they bill this code per diem
Equipment and supplies: A4221, A4222, A4218, A4305
Medication: J3370, J1642, J7040, J7050, J2405
97535 - education/training
96365 - infusion at initial visit in the office
96374 - at initial visit
What is the proper coding and place of service? Am I correct that if they bill for S9500 - S9502 this includes the supplies so they should bill either S9500-S9502 or the A codes along with the drugs.
On another discussion post relating to home infusion, it was suggested that if the physician owns the pharmacy they should be billing the drugs as a dispensing pharmacy?
Any guidance would be appreciated!