Wiki Billing for infusion admin codes

[ebaque2019]

When billing 96415, do you bill it in increments of 30 minutes or as an hour? For instance, if a patient is in the chair for 2 hours, 96413 would be billed for the first hour but how would you bill for the second hour?

 

[trarut]

96415 is billable once 31 minutes of the second or subsequent hours is reached. For example:

90 minute infusion = 96413 only
91 minute infusion = 96413 + 96415
120 minute infusion = 96413 + 96415
151 minute infusion = 96413 + 96415x2

Hope this helps.