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Thread: billing for chemo teaching?

  1. #1

    Question billing for chemo teaching?

    AAPC: Back to School
    Hi all We used to have a couple of nurses dedicated to chemo teaching and were charging 99211's for their time. A few months ago, we have a staffing shuffle and now our NP's are doing the chemo teaching so we've seen a change from 99211's to higher visits. I'm not convinced this is appropriate since it seems that they're trying to bill based on the time.

    How does your practice bill for your chemotherapy teaching, if at all?

    Last edited by trarut; 11-13-2009 at 10:16 AM. Reason: add a missing word

  2. #2

    Wink Nurse Practitioner Chemo teaching

    Good afternoon,

    When I was coding chemo infusions, out Nurse Practitioner's did the patient education and they always assigned an E&M code that rested upon both the time and documentation. They typically charged 99213 and sometimes 99214 when there was a lot involved. I know it does seem appropriate but we had a meeting with a Medicare rep regarding this and they were comfortable with us doing this.

    Good luck!


  3. #3


    Thanks for the input, Joyce

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