Wiki Infusion admin 96365 / possible reaction

DGray

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Looking for assistance with 96365. Infusion started and then stopped at 3minute mark due to patient condition. May we still bill the 96365 with a 52 modifier? Patient was continually monitored for almost an hour before discharge. Any guidance will be appreciated.

Thanks,
Donna
 
Thank you. I thought of using 96374 but second guessed myself due to the time spent with patient.
If this took place in a physician office and there was an E&M service performed during the same encounter, you may be able to code 99415 for the prolonged clinical staff time. But if this is a facility or infusion center charge, then I'm not sure there is anything that can be coded for the monitoring time.
 
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