cjrottum
Contributor
I have been coding infusions for a Rheumatologist for a while and he always codes the admin codes of 96413/15 with the monoclonal antibody drugs. We are getting denials on several of these: Actemera, Orencia, Tysabri and Simponi Ari and the billing department is just changing to 96365 to get them paid. My question from him is (he is pretty upset) these are monoclonal antibodies and per several Rheumatology articles he has he can and should be the chemo infusion codes with these drugs.
Have you run into this issue and, if so, what did you decide to do?
Help!!
Have you run into this issue and, if so, what did you decide to do?
Help!!