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Mutually exclusive question

  1. #1
    Default Mutually exclusive question
    Medical Coding Books
    Am I able to bill 96523 w/ an office visit? I'm unable to find an answer anywhere.


  2. #2
    This is an excerpt from Encoder... Notice last line in red...

    Section Notes - 96521-96523 Refill/Upkeep of Drug Delivery Device - (96521-96523)
    Refill/Upkeep of Drug Delivery Device

    INCLUDES: highly complex services that require direct supervision for:

    - consent

    - patient assessment

    - safety oversight

    - supervision

    parenteral administration of:

    - anti-neoplastic agents for noncancer diagnoses

    - monoclonal antibody agents

    - non-radionuclide antineoplastic drugs

    - other biologic response modifiers

    the following in the administration:

    - access to IV/catheter/port

    - drug preparation

    - flushing at the completion of the infusion

    - hydration fluid

    - routine tubing/syringe/supplies

    - starting the IV

    - use of local anesthesia

    therapeutic drugs other than chemotherapy

    EXCLUDES: administratoin of non-chemotherapy agents such as antibiotics/steriods/analgesics

    blood specimen collection from completely implantable venous access device (36591)

    declotting of catheter/port (36593)

    home infusion (99601-99602)

    Code also drug or substance

    Code also significant separately identifiable evaluation and management service, if performed
    Coding Junkie

  3. #3
    Thank you Mary! I'm new to this specialty!

  4. #4
    If you look in the cpt manual 96523 is not reportable with any other service for that date of service

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