Breezy
Networker
This is a question from an HIM standpoint, not a billing standpoint. We have patients receiving Immunoglobulin IVIG in our hospital outpatient setting. We have a coding department and a separate billing department. We do have Medicare patients and private payors and that coding needs to be consistent across payors.
In coding these, we use the infusion code 96365 and along with it, the CPT medicine code, 90283. However, Medicare doesn't accept the 90283 and wants a J code. In your facilities, who's responsibilty is it to assign the J code? Is it HIM/coding or the billing department? Normally, HIM in this setting doesn't have much to do with HCPCS codes.
Anybody out there had this discussion? We are curious to see what others are doing. Thanks for any input you may have.
In coding these, we use the infusion code 96365 and along with it, the CPT medicine code, 90283. However, Medicare doesn't accept the 90283 and wants a J code. In your facilities, who's responsibilty is it to assign the J code? Is it HIM/coding or the billing department? Normally, HIM in this setting doesn't have much to do with HCPCS codes.
Anybody out there had this discussion? We are curious to see what others are doing. Thanks for any input you may have.