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chemotherapy infusion

  1. M

    Wiki Help Needed -- J9271 denied for CO-B15?

    My oncology office has received a denial from Humana for Keytruda (J9271) as part of a patient's treatment regimen, citing reason code CO-B15 with the remark "The required initial service for this drug was not processed, received or allowed." J9271 was billed with a clinic visit (modifier 25...
  2. A

    Wiki Infusion clinic recurring account

    Hello, my director is looking into my infusion clinic recurring accounts and isn’t sure whether we can bill an E/M and infusions in the same claim even if they’re different dates of service. An example would be if the patient came 3/8 for labs and to see the doctor and then came back on 3/15 to...
  3. A

    Wiki Billing for Observation and chemotherapy on same DOS...Can we bill both?

    Can we bill for both oberservation (any observation cpt code) and chemotherapy administration (cpt code 96450) for same date of service? Any feedback is very much appreciated! :)
  4. D

    Wiki Oncology Office Visit then Chemo - mod 25?

    Need help with modifier 25. Here is the scenario: Patient see's the Oncologist to talk about whether its ok to have Chemo that same day. The Oncologist says yes and the patient is sent over to the Chemo Infusion Room. Question: Would the clinician attach modifier 25 to the LOS (i.e. 99214) for...
    • dhall50
    • Thread
    • chemotherapy infusion modifier usage office visit oncology
    • Replies: 1
    • Forum: Modifiers
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