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Billing for Port Flushes

  1. #1
    Default Billing for Port Flushes
    Medical Coding Books
    Can anyone tell me how you currently bill for port flushes....Drug and administration??? heparin and admin

  2. #2
    Louisville, KY
    Unless I am misunderstanding it, you would bill for the definitive service supplied that day (e.g., infusion, injection, etc), of which the flush is inherent. The heparin may or may not be separately payable--probably depending on your payer.

  3. #3
    Default RE: Port Flush
    If you are billing for the declot of a port with the flush, you would bill a 36593 along with your declotting agent. The heparin may not be covered, but your admin should be. If done with anything else same day, add a 59 modifier to the 36593.

  4. #4
    Default Port flushes
    Will bill 96523 when the sole and only service provider is for port flushes. This is not billable on the same day as other services. I hope this helps!

    Shaunta Brake, CPC
    ENCMG Hematology/Oncology/Internal Medicine

  5. #5
    Columbia, MO
    I agree a port flush is 96523.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    What if the patient is undergoing chemo and radiology had trouble accessing her port so they sent her to the general surgeon's office who placed the port. The surgeon has marked a 99213 and listed "Port Access" on his superbill. Does anyone have any suggestions what should be billed for this situation?
    Mary Beth Gord, CPC

  7. #7
    Default Port flus
    I would query the surgeon...did he declott the port? Then this would be billed as 36593- Declotting by thrombolytic agent of implanted vascular access device or catheter.

    C.Shaunta Brake, CPC

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