Wiki Need opinion on outpt chemo admin codes?

[mb12345]

Good afternoon,

Intense coding discussion going on regarding proper use of 96413, 96417 and 96415. Your opinions would be greatly appreciated. Here is the coding scenario:

Avastin: admin 13:19-13:50
Irinotecan: admin 13:55-:1530

We code:

96413: for the Avastin
96417: for the Irinotecan
96415: addt'l time on the Irinotecan

Another group wants to combine the time of the two ( Avastin & Irinotecan) make it 2 hrs 6 minutes and code only: 96413 and 96417. My interpetation is that you cannot combine the time of two drugs adminsitered seperately.

Your thoughts?

Thanks
Mary Beth

 

[ellenrcpc]

You are absolutely correct.

96413- 1st hour of initial substance/drug, 96417- 1st hour of each additional sequential drug, 96415- each additional hr of primary or sequential drug. Coding one unit of each.

 

[mb12345]

Thanks for your response!

 

[kumeena]

chemotherapy drug administration

Good afternoon,

Intense coding discussion going on regarding proper use of 96413, 96417 and 96415. Your opinions would be greatly appreciated. Here is the coding scenario:

Avastin: admin 13:19-13:50
Irinotecan: admin 13:55-:1530

We code:

96413: for the Avastin
96417: for the Irinotecan
96415: addt'l time on the Irinotecan

Another group wants to combine the time of the two ( Avastin & Irinotecan) make it 2 hrs 6 minutes and code only: 96413 and 96417. My interpetation is that you cannot combine the time of two drugs adminsitered seperately.

Your thoughts?

Thanks
Mary Beth

I agree with 96413 and 96417 (total time 2hrs 11 minutes) I won't code for 3hrs when the document says administration was done only for 2hrs 11 minutes

 

[mitchellde]

It should be the 96413, for the 31 minutes of the Avastin, then 96417 for the first 1 hour of Irinotecan and 96415 for the last 35 minutes of the Irinotecan. So you are correct!