Wiki Multiple infusions same day

jkimbrell

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Broken Arrow, OK
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Infectious Disease Specialty
Patient requires 2 antibiotic infusions per day, 1 in AM, 1 in PM. How do I code to avoid denial?
96365 is my primary code for both services
 
As long as the documentation shows the distinct administration times, use a 59 modifier - or an XE modifier if the payer accepts it - on the second administration code.

ETA - You still may have to provide the documentation to prove they were separate administrations given at different times of the day.
 
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