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chemo for 3 hrs?

NJcoder

Expert
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267
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0
pt. had Etoposide chemo infusion from 11:05 to 3:05

would i code 96413 for the 1st hr.
and 96415x2?

thanks
 

OCD_coder

True Blue
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Nashville AAPC Chapter
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11:05 to 3:05 is 4 hours total.

96413 for the 11:05 to 12:05 hour
the 2nd hour starts at the 91 minute threshold so, if the chemo stopped at 1:36pm you can code the additional hour CPT, eventhough you did not technically have a full 60 minute 2nd hour.

I would bill this scenario above as:
96413 x 1
96415 x 3
 
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