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Same drug pushed twice

  1. #1
    Default Same drug pushed twice
    Clearnace Sale
    If we pushed 5FU twice during a chemo treatment do we code 96411 or 96411 X's 2. I thought it should be 96411 since it is not a new substance. Any help would be appreciated.
    Dee, CPC
    Tn Cancer Specialists
    Knoxville, TN

  2. Default 2 pushes same drug
    Yes, I believe you are correct. the code can only be billed once per drug.

  3. Default 5fu
    If the drug was the only drug given that day and it was administered twice ( two seperate times.) Then you could bill 96409 IV push initial and then bill 96411- IV each additional push. 96411 is not an initial code therefore it cannot be billed 96411x2 . If other chemo was done then yes it can be billed twice( administration) like that but add the dosage together.

    Hope this helps,

  4. #4
    Bettendorf, Iowa
    I agree with llucas. If there was other chemo given then 96413 + 96411x2. If it was just 5fu then 96409 + 96411.
    Ruth Long CPC,CHONC

  5. Default
    Is it the same concept with 96417?

    A chemo drug (non-initial) was infused at two separate times during the SAME encounter. Once from 1:00-1:30 (30 minutes) and then from 2:43-3:15 (32 minutes). Would it be correct to bill 96417 OR 96417x2?

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