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Magnesium Sulfate Infusion
I have never billed for this.
Please advise to the codes and how I should bill for this.
Thanks
Hydration with Ringers Lactate Infusion
Thanks in advance
Deneen
Infusion coding in an outpatient setting
Thanks,
Julie
Infusion Billing
Physician Infusion Services, CHONC Practice Exam Clarification.
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
Billing E&M with IV infusion with extra liter
Just had a question in regards to billing out a certain claim and am having trouble finding the answers through forum search. We had a patient in a doctor’s facility come in with flu like symptoms, patient had a shot of antibiotics, and then an IV infusion with an additional hour of IV afterwards. Now the problem I am having is all of the codes I am trying to bill out conflict, and I’m trying to figure out how to properly bill.
The codes I currently have are:
99213 mod 25 - E&M fee
96372 - injection fee
J0696,XGR1 - rocephin injection
96360 - IV infusion for 1 hr only which includes 1 bag
96361 - add'l 1 hr IV infusion
A4217 - supply code for add'l liter of IV
Even by adding a mod 25 on 99213, I still get an error thrown up on 96360 or the 96372. Am I overbilling one too many codes or is there a more appropriate modifier that I am not using correctly?
Thank you for your time!
Physician E&M service same day Facility Infusion
physician E&M service and facility infusion on the same day-
So in peds, often times, the physician ends up seeing the patient on the same day as infusion therapy that is billed by the facility.
Since the clinic and infusion suite is hospital owned, there is conflict on how the physician services should be billed.
following CPT guidelines, if there is a significant and separate identifiable E&M it should be billable, however, since both the infusion suite and physician clinic is hospital based/owned the POS for both location i believe would be 22. I know the facility is reporting an E&M + infusion codes, but would the physician E&M also be billed? If so, is it with modifier 25 or w/o? If not, is it because there is already an E&M code the facility is billing?
Medicare Denials – Infusion Coding Guidelines
Thanks!
Billing E/M codes with an infusion
The secondary is United Health Care Medicaid.
I would appreciate any info on this.
Martha Aragon CRHC