I bill for a physician practice/office. We are having a discussion about how to most appropriately and ethically bill this situation. I appreciate anyone's opinions.
Patient is receiving 18mg of Cytarabine on Monday, Wednesday and Friday. Cytarabine (J9100) comes in a 100mg single-dose vial but is reconstituted to be viable for several days (a single vial is used to give all three 18mg doses for the week). The code J9100 is for 100mg of Cytarabine. There is no other code for this drug. (I have verified with the medical staff that it is not Cytarabine Liposome).
We are trying to decide if we should bill J9100 x1 for each DOS or if we should somehow indicate that only 100mg total is being used.
Thoughts?
Alanna Esler, CPC
Patient is receiving 18mg of Cytarabine on Monday, Wednesday and Friday. Cytarabine (J9100) comes in a 100mg single-dose vial but is reconstituted to be viable for several days (a single vial is used to give all three 18mg doses for the week). The code J9100 is for 100mg of Cytarabine. There is no other code for this drug. (I have verified with the medical staff that it is not Cytarabine Liposome).
We are trying to decide if we should bill J9100 x1 for each DOS or if we should somehow indicate that only 100mg total is being used.
Thoughts?
Alanna Esler, CPC