• 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 Port Flush

Create Wiki
M

msrainbird

Networker
Messages
42
Location
Sebring, FL
Best answers
0
I have a patient that has a port to make it easier to access her for blood work. she came in for a flush but I am at a loss for what CPT code to use. I thought I would use 96523 but it says it's for irrigation for drug delivery systems...Any suggestions of what code I can use?
 
plz, look in to the following rule -

ICD-9-CM reporting: If routine flushing of clots is performed before/during planned dialysis/other treatment, then do not report and additional ICD-9-CM code.

If patient is seen specifically for flushing/declotting of a catheter due to obstruction/plug, then assign code 96.57 (irrigation).

CPT reporting: Code 96523 (irrigation of implanted venous access device) is 'not' reported if any other services are provided on the same day.
 
I'm having a hard time getting payment from Aetna for a 96523. I work at a Hematology and Oncology office where we schedule pts to come in and we clean out their ports, no other service is billed with the 96523. Is there a different code to use? I'm having the hardest time finding regulations regarding the 96523, for instance, the timeframe from the last chemo treatment until Aetna will not pay for the 96523.
 
You must log in or register to reply here.
Top