micalbee65
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I am having some trouble with portable pump initiation vs. refill. I have a patient that comes in twice a week for 5FU. I have all of the administration figured out, the problem we are having is that pt comes in on day 1 gets an infusion then pump is filled and is connected to patient. Patient then comes in the next day and has the pump disconnected. Then the patinet returns three days later and gets the same treatment (infusion, then reconnected to the pump). CSI says that code 96416 can only be billed once per treatment cycle. Is the cycle the scheduled (plan). i.e. twice a week for three months or is the cycle each treatment?
It just seems like overbilling to do a pump initiation (96416) and then the disconnect (99211) twice a week for who knows how long.
Please advise.
Thanks
bonnie
It just seems like overbilling to do a pump initiation (96416) and then the disconnect (99211) twice a week for who knows how long.
Please advise.
Thanks
bonnie