Wiki 99417 and 96374 and 96361

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terikbaxter69

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Hello,
Can 99417 (prolonged services) and 96374 / 96361 (infusion codes) be billed at the same time? I am getting denials stating the insurance does not pay for both (99417 and 96374 / 96361) in the same visit because they are "timed codes" and it is considered "double dipping" I billed it as 99215-25, 99417, 96374 and 96361. Also, should I use modifier 59 on the infusion codes?
 
They would need to be unrelated. The E&M and the drug admin would need to be separate anyway. If your documentation supports that, I would appeal. I would first double check and make sure it's separate.
 
terikbaxter69 said:
Hello,
Can 99417 (prolonged services) and 96374 / 96361 (infusion codes) be billed at the same time? I am getting denials stating the insurance does not pay for both (99417 and 96374 / 96361) in the same visit because they are "timed codes" and it is considered "double dipping" I billed it as 99215-25, 99417, 96374 and 96361. Also, should I use modifier 59 on the infusion codes?
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Were the injection and infusion done during the same visit or were they done separately? Also were they done by someone else? If so, then add the 59
 
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