MHINDSON -hello ladies/gents, i have trying to understand this code for 2 hours now can some one please give me an example of when you would code a 96365 and then 2 or 3 96367 codes.
I had a rocephin for my initial which i coded a 96365 from lets say 1-2 or one hour, then form 201 until 2:40 i had lets say vicodin running and then at 2:41 until 3:30 was magnesium sulfate so i coded it as 96365, 96367x2 how would you ladies/gentlemen have coded this example and it was running out of of line? thanks for any help on this, i understand the 96368 but am having big problems understanding the 96367 concept thanks
Mitchellde~I am curious as to why you would use 2 units for the 96367 when the instructions clearly state that it may be coded only once per drug. Using 2 units will likely cause a denial for units out of range. I am just wondering why you would suggest that this is the way to do this.
Mitchellde-I do disagree. As billing 2 units does not indicate 2 different drugs using 2 line items with a 59 does by definition indicate a distinc and separate substance. Units are suppose to be used for procedures or services that come as quantity distributions. This one does not. Timed services and the J codes for the drugs come distributed in quantities so it is natural to bill these with units. So I do disagree with how you are saying to bill this code.