Wendy CPC
Contributor
We had a patient started with premeds with no MD onsite, only ARNP. MD arrived and we administered the chemo (same IV as premeds). My thought is to bill the entire infusion (premeds and chemo) under the ARNP. Biller is splitting the premeds under the ARNP, chemo under MD, which causes the premeds administration (96375) to be on it's own claim, therefore being denied for "no initial administration" since the initial code is on the MD claim. This is a Premera Blue Cross pt. Is there a written guideline on this? Thanks in advance