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Thread: Billing for Port Flushes

  1. #1

    Default Billing for Port Flushes

    AAPC: Back to School
    Can anyone tell me how you currently bill for port flushes....Drug and administration??? heparin and admin

  2. #2
    Join Date
    Apr 2007
    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.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3
    Join Date
    Apr 2007
    Bettendorf, IA

    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
    Join Date
    Apr 2007

    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
    Join Date
    Apr 2007
    Columbia, MO


    I agree a port flush is 96523.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    Join Date
    Apr 2007


    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
    Join Date
    Apr 2007

    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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