karlam
Networker
- Messages
- 36
- Location
- Highland Springs, VA
Please help! I work in a primary care/urgent care setting.
I have a provider wanting to use 36000 when we cannot bill for actual hydration or an infusion. I'm thinking this would also be when we are sending patients our via ambulance. Medicare and Tricare will not cover this code, but some commercial payers will. My other concern is that KVO is not separately reportable, and maybe this scenario falls under that category.
Also, 96365 states "up to 1 hour" but doesn't specify a minimum like the other codes do. Is it ok to bill this code for less than 30 minutes when we are infusing an antibiotic?
Any help would be appreciated!!
I have a provider wanting to use 36000 when we cannot bill for actual hydration or an infusion. I'm thinking this would also be when we are sending patients our via ambulance. Medicare and Tricare will not cover this code, but some commercial payers will. My other concern is that KVO is not separately reportable, and maybe this scenario falls under that category.
Also, 96365 states "up to 1 hour" but doesn't specify a minimum like the other codes do. Is it ok to bill this code for less than 30 minutes when we are infusing an antibiotic?
Any help would be appreciated!!