96523 portflush with 36415 venipuncture

[jbonanno]

I know a port flush bundles into any chemotherapy/OV/port draw, but can it be billed with a venipuncture(36415) and a CBC(85025)? The only information I am finding regarding labs states a port flush can not be billed with a port draw(36591&36592). The CPT book reads do not bill the 96523 in conjunction with any other services, but there are no CCI edits for the 36415, 85025 and the 96523 and I found some information stating we can bill the port flush(96523) with venipuncture(36415) if there are no other "physician services" reported that day. Does anyone have more insight/documentation supporting or negating this?

 

[OncologyOKC]

I am from Oklahoma and we have been unable to ever get the port flush paid at anytime except when it was the ONLY thing performed.

 

[CodingKing]

If its unrelated to Chemo would it be 36592 for the blood draw? Flushing is standard of care so bundled into what ever procedures uses the port.