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AAPC member Gabriel Aponte, MSHIA, RN, CPC, COC, CIC, CRC, CPMA, CDEO, CDEI, CCC, CHONC, RHIA, CCS, CCS-P, CDIP, CCDS, CCDS-O, has been working in healthcare for 17 years. Aponte has auditing and coding experience in several specialties and has worked in almost every space in the industry, from health plans to physician offices and […]
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AAPC member Emily Williams, CPC, COC, CPMA, CHONC, has been coding for 10 years. She is currently a coder at a large multispecialty group and has experience coding oncology/hematology, gastroenterology (GI), anesthesia, pain management, radiology, dermatology, and cardiology. AAPC asked Williams about her experience with earning the Certified Hematology and Oncology Coder (CHONC™) credential and […]
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AAPC member Donna Stanhope, CPC, CHONC, is a 20-year veteran in the healthcare system. She has worked as a financial review specialist at a large oncology practice in Maine for the last four years, where she started as an insurance verification specialist. AAPC asked Stanhope about her experience with earning the Certified Hematology and Oncology […]
The post Advice From a CHONC™ appeared first on AAPC Knowledge Center.
I was hoping for clarification on a topic that has me torn as to the true and correct coding method. The below scenario and rationale comes directly from the CHONC Specialty Practice Exam.
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Prior to this I have previously been taught that we can only bill a IV push as primary to a hydration infusion (Facility Hierarchy rules), but per the AAPC rationale provided because I am in a physician practice (not a facility) I can bill a 96360 and 96375 in a real life scenario.
Has anyone ever tried this? Or do hey have any experience with physician infusion guidelines being different than facility guidelines?
The AMA CPT Guidelines for hydration and therapeutic infusions do state that When these codes are reported by the physician or other qualified healthcare professional, the initial code that best describes the key or primary reason for the encounter should always be reported irrespective of the order in which the infusions of injects occur.
Any input is greatly appreciated!!
Thank you,
Asia