aknoper
Contributor
Hello,
Our office is looking into providing Ketamine IV Infusions for Depression (not the nasally administered Esketamine). I know that this is considered off label and insurance will not pay for it. I've read some conflicting information that even though insurance does not pay for the Ketamine itself we would potentially still bill insurance for the IV placement and continual monitoring that takes place. Anyone have any insight on this? I feel like if we are administering a drug that is not covered for a diagnosis they consider experimental then we shouldn't be able to bill for those things at all? I've just searched and searched and cannot get any clarification on this. Any help is appreciated!
Our office is looking into providing Ketamine IV Infusions for Depression (not the nasally administered Esketamine). I know that this is considered off label and insurance will not pay for it. I've read some conflicting information that even though insurance does not pay for the Ketamine itself we would potentially still bill insurance for the IV placement and continual monitoring that takes place. Anyone have any insight on this? I feel like if we are administering a drug that is not covered for a diagnosis they consider experimental then we shouldn't be able to bill for those things at all? I've just searched and searched and cannot get any clarification on this. Any help is appreciated!