Wiki Medicare denials

Create Wiki
M

maitri1970

Guest
Messages
29
Best answers
0
Does anyone have an issue with Medicare denying the code 96366 when it is billed with the 96413 . The denial is stating that the code needs a preceding code??? I thought you cant bill another initial code with the 96413.
PLEASE help me shed light..I am at a new oncology practice and I need to KNOW my stuff, and denials dont look good :confused:

Thank you in advance
Treena:cool:
 
Medicare denials for chemo infusions

Wouldn't the add on code be 96415 instead of 96366? If you are billing initially for chemotherapy, your follow up code for additional time would also need to be for chemotherapy.
 
I work in for an Oncology Practice and Chemo infusion 96413 for the first hour and to qualify for the second hour it must be at least 31 minutes. This is for chemo infusions. 96366 is for Theraputic infusion and its an additional hour so if you have antimetics given you would use 96367 for iv infusions ivp would be 96375 must be 15 minutes or less. ;)
 
You must log in or register to reply here.
Top