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We give IV chemotherapy infusions and shots in our office. Occasionally a patient will react to this, and we put put our AED paddles on them just in case, occasionally have to start CPR. How do we bill for this? The AED paddles cost approximately $250 a pair. Usually EMT gets there with in 15 minutes and takes over care and takes them to the hospital within another 15 min. Thoughts?
My OT want to charge cpt 96156 from what I am reading that only healthcare professionals who may report E/M services or preventive medicine services can report this. Am I on the right track?
the denial code & reason:
97​
:​
The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.​
Now that many Anthem plans require prior authorization for 11750, or 11730, how are you handling the appointments in the office? Are the nurses calling or using Availity to approve prior to the procedure? Or are you rescheduling the patient to come back? JJ
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