• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Modifier 52 with 96415

Create Wiki
P

pattivest

Networker
Messages
32
Location
Larksville, PA
Best answers
0
Patient comes in to our outpatient hospital department for chemotherapy. Chemotherapy was ordered for 2 hours, however due to the patient's condition it was not able to run for the entire 2 hours. The chemotherapy drug ran for exactly 90 minutes. Our coding wants to code 96413 and 96415-52. The coder is siting CPT Assistant August 2004 Pages 11,12 Category: Coding Consultation Related Information as well as the note from 3M that has the question asking what the appropriate codes to report for chemo admin via IV infusion techcnique with a total duration time of 90 minutes. Both are stating to use the modifier 52 on the add-on code since it was only 30 minutes. However this does not seem correct. Any assistance and documentation of this issue would be greatly appreciated.
 
You must log in or register to reply here.
Top