96523 w/ j1642

heidi3

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Can you bill these together if that is the only thing done at that day
 

OCD_coder

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You can never bill Heparin with anything. It is bundled into the chemo work, whether your billing for flushes or infusion.

96523 is a stand alone code, nother can be billed with it.

It has to be done and it is not given for therapeutic reasons.
 
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Hi,

can we use mod 59 to J1642 when it is billed with 96413? The insurance is telling me that I need to append a modifier to it but I am not sure if modifier 59 is appropriate. Thanks
 

CodingKing

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heparin will be bundled until the end of time. Its a standard supply and included in the RVU calculation of any procedure involving IV access.
 
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