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96445 Question

  1. Default 96445 Question
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    I had a claim yesterday billing a 96445 for this patient. According to CPT assistant our office can bill the 96445 with a 52 modifier as we don’t do the peritoneocentesis. How would we bill the 96445 if there is a primary chemo infusion also on that day, can we bill the initial infusion code with a 59 modifier so it is not bundled with the 96445? Please Help.

    2nd question; if the patient is coming in for peritoneal therapy should we bill the premeds as an initial code or sequential codes.

    Hope you can help with this,
    Thank you!
    Last edited by pamelaprice; 10-29-2009 at 01:17 PM.

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