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95990 and 95991 Pump Refill

  1. #1
    Default 95990 and 95991 Pump Refill
    Medical Coding Books
    We are getting denied for CPT's 95990 and 95991. These are refills of implantable pumps for drug delivery. 90 is without an MD and 91 is with an MD administering. Has anyone been reimbursed for these codes?

  2. Default
    what place of service are you billing, inpt/outpt/office? Are you billing 62368 adjustment of the pump? We bill these and get paid. Inpt and outpt POS, it is denied.

    Quote Originally Posted by codom View Post
    We are getting denied for CPT's 95990 and 95991. These are refills of implantable pumps for drug delivery. 90 is without an MD and 91 is with an MD administering. Has anyone been reimbursed for these codes?

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