Wiki Chemo Push

rross

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A patient has a continuous infusion, comes into the clinic to have it removed but there is still meds left. The nurse then receives orders to push the chemo remaining, would that be a 99211 or 96409? I know I can't charge both but my thought is 96409 would be charged, the drug has already been charged. Am I right in my thinking?
 
According to CPT clinical vignette, if the patient has a venous access device you can't bill 96409. You'd only bill 96409 if it requires IV initiation.
 
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