msmith95
Guest
I am a new coder at a billing office and one of our physicians has a question about billing a Medicare patient for an infusion. This is what she sent me.
I have a patient who has cancer and would like to receive Vitamin C IV infusions with us. Medicare will cover the IV part, but not the vitamin C. The patient said that at his other doctor's office, when he had his knee injected they billed his insurance for the injection, but he had to pay out of pocket for the medication. Can we legally do that in this situation?
Place Needle In Vein 36000
Office/outpatient Visit Est 99213 1 UN
Normal Saline Solution Infus J7030 1 UN
Hydration Iv Infusion Init 96360
This is how she is wanting to bill the encounter and the infusion.
Just need some input as I have done some research and another experienced coder has as well with no definitive answer.
If anyone is familiar with infusion coding can you please help me out!
I have a patient who has cancer and would like to receive Vitamin C IV infusions with us. Medicare will cover the IV part, but not the vitamin C. The patient said that at his other doctor's office, when he had his knee injected they billed his insurance for the injection, but he had to pay out of pocket for the medication. Can we legally do that in this situation?
Place Needle In Vein 36000
Office/outpatient Visit Est 99213 1 UN
Normal Saline Solution Infus J7030 1 UN
Hydration Iv Infusion Init 96360
This is how she is wanting to bill the encounter and the infusion.
Just need some input as I have done some research and another experienced coder has as well with no definitive answer.
If anyone is familiar with infusion coding can you please help me out!