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96146 chemo infusion

  1. Default 96146 chemo infusion
    Medical Coding Books
    When coding for chemotherapy and the initial service is 96146 {initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use use of a portable or implantable pump} and you can only have one initial service. How do you code for the subsequent codes 96415 and 96411 when, (per CPT guidelines) they both require the use of 96413 as the initial??? Can someone help me with this one.

    Would you bill 96146, 96413 and 96411 + the drugs?

  2. #2
    Yes 96416 for the 5FU in the pump, 96413 and 96411 for the drugs given in the office.

  3. #3
    Yes that is how we bill it also
    Dee, CPC
    Tn Cancer Specialists
    Knoxville, TN

  4. Default 96416 chemo
    96416 will need a .59

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