I cannot find an answer or written scenario to this situation. Can someone help?
Scenario:
Avastin is given and is the initial chemo (no more than 1 hour)
Decadron and Anzemet are given CONCURRENTLY prior the chemo (30 mins)
I think the correct codes are 96413 (Avastin) and 96368 (Concurrent infusion).
I have seen scenarios like this or similar billed as 96413, 96368, and 96367. The rationale for the 96367 is that the concurrent infusion is sequential to the initial chemo.
Isn't that double dipping? Any experts out there?? I wish I had written documentation to support either but I cannot find a CPT assistant exactly like this.
Scenario:
Avastin is given and is the initial chemo (no more than 1 hour)
Decadron and Anzemet are given CONCURRENTLY prior the chemo (30 mins)
I think the correct codes are 96413 (Avastin) and 96368 (Concurrent infusion).
I have seen scenarios like this or similar billed as 96413, 96368, and 96367. The rationale for the 96367 is that the concurrent infusion is sequential to the initial chemo.
Isn't that double dipping? Any experts out there?? I wish I had written documentation to support either but I cannot find a CPT assistant exactly like this.