• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

96367 x 4

T

TFlohr

Contributor
Messages
11
Location
Fairmont, WV
With chemo 96413 I have 4 separate infusions 96367 (decadron, benadryl, zofran and iron), each documented 20 minutes to 1 hour. Since CPT code 96367 "revised" in 2012, Medicare now only allows payment on 3. Is there a new coding rule on this? Should I appeal this with Medicare? Should nursing staff adjust infusion times to bill 96375 instead?
 
I surely hope someone will answer this for you, as I did read about an adjustment made to allow for more then 3 units due to protests by oncologists and other groups and that the limit of 3 has been "relaxed" to allow for more, but unfortunately I do NOT have the report to back this up. You might want to perform a "search" using this particular code on the forum and see if it pops up somewhere. Definitely worth investigating and waiting for an answer. ---Suzanne E. Byrum CPC
 
You must log in or register to reply here.
Top