• 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..

Port Flush with E/M

H

hdwyrick

Guest
Messages
4
I have been looking for the guidelines to bill J1642 with an E/M. We have carriers that are denying J1642 stating bundled with the other services and all is billed is E/M and J1642. If the patient is in the office and sees the doctor and then has the nurse to do a port flush, what do I need to bill to get this paid. Do I bill a 25 modifier on the E/M? Do I bill 96523 with J1642 and E/M? HELP me understand..............:confused:
 
The 96523 is bundles with the OV. The prot flushh can only be billed if it is the only service performed that day. The J code should however pay but it may be the dx code that is holding it up. We have always used V58.81 for the port flush and the J code. Do not link it to the OV code in this case only to the J code.
 
You must log in or register to reply here.
Top