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Billing 96523....

R

Revenuecycle

Guru
Messages
167
Location
Plymouth, MA
When billing a 96523, port flush can you bill the J1642 as well? And if so do I need a modifier on this code?
 
We usually don't charge for the 96523 at all, as it not covered with any other services given that day. We do charge for heparin, at least for insurances that still cover it.
 
Per the AMA CPT guidelines: Do not report 96523 if any other services are provided on the same day. Therefore if other services were performed you need to bill what is the higher in RVU's. I will bill all the admin charges and medications and not the port flush. Hope this helps.
 
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