In Coding
Jul 1st, 2014
Across the country, in offices and facilities, coders are having trouble with CPT® 96372 Therapueutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular. Providers are not being paid for this injection administration code because it is being applied incorrectly, insurance companies say. Here’s why. The primary intent of an injection as described ...
Follow AMA, CMS, ACR, individual payer rules, and these helpful tips for surefire billing. By Terry Leone, CPC, CPC-P, CPC-I, CIRCC, and G. J. Verhovshek, MA, CPC Diagnostic radiology encompasses a variety of services, including diagnostic radiology (plain film), diagnostic ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), diagnostic nuclear medicine, positron emission tomogra...
In Billing
Jun 11th, 2010
Medicare does not allow for separate payment of Heparin when used to facilitate a flush during or following a drug infusion; nor should a separate administration code be billed for providing the heparin. To reduce the number of inappropriate paid claims received for this service, TrailBlazer Health Enterprises posted a June 10 notice on its ...
In Coding
Jun 11th, 2010
After receiving reports of floating matter in intravenous (IV) bags manufactured by Claris Lifesciences Limited, in Ahmedabad, India, the U.S. Food and Drug Administration (FDA) released a public health alert on May 29 notifying health care professionals that they should not use and should immediately remove from their pharmacy inventories any of the following IV ...
In Billing
Feb 15th, 2010
The Centers for Medicare & Medicaid Services (CMS) has rendered outpatient intravenous insulin therapy (OIVIT) nationally non-covered by Medicare, effective Dec. 23, 2009. CMS says it will create a new HCPCS Level II code for use of this non-covered service that will be effective Dec. 23, 2009 and implemented with the April 2010 Integrated Outpatient Code ...