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Is anyone having this problem???? Medicare (palmetto JB1) eff 04/29/2013 is denying all our claims that have 96361 without 96360. We do a lot of IV drug infusion (96365) and IV hydration. Are normal sequencing is 96365 (primary) with drugs then 963361 (add on) with lactated ringers. Medicare is telling me that I need the 96360? I advised her that we have billed it that way before and 96360 denied inclusive to the 96365 because we cannot have two primary codes. that is why we use the 96361. she will send it up for review. I am trying to find out is their was a change in guidelines, but everything I read states that I cannot have two prime codes in one claim???? HELLLPPPP if you know anything else