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Discontinue of CADD pump

gr8gal61

Guru
Messages
147
Location
Corinth, TX
Best answers
0
I have a question that I hope someone can help clarify. Currently a patient comes in to have their CADD pump disconnected, typically within 48 hours. I was instructed to bill the lowest level 99211 and majority of the records I code are Medicare. My question is: If patient comes in and their port is flushed, why not bill a port flush? I realize when another service is performed on the same DOS, it cannot be billed yet I'm trying to find a rhyme or reason for this and how I was trained.

Thanks
 

dtricia

Guru
Messages
209
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0
Port flush with D/C

I have a posted response from an auditor on this question that I had saved- it says that the needle being deaccessed is actually the same needle from Day 1 chemo hook up, and so you cannot bill a flush because another service was provided that day- the drug infusion.
Tricia D
 

thallahan

Contributor
Messages
13
Location
Dearborn, MI
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0
The port flush is part of the service from the original chemotherapy day and is included, it's not a billable separate service. Also, billing procedure code 99211 is not correct. The patient is having their pump disconnected, period.

Trudy Hallahan, CHONC
 

donn999

Contributor
Messages
10
Location
Tacoma WA
Best answers
0
I agree with Trudy.

If your facility connected the pump then the disconnect and flush is bundled into the connection code from two days prior.
 
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