Results 1 to 2 of 2


  1. #1
    Default A4212
    Medical Coding Books
    I am looking for some advice on billing the A4212 code w/chemo administration. I have heard from some sources that it is billable, but we are having problems w/reimbursement from Medicare.
    Is it billed as a DME?
    Is anyone else having any luck getting reimbursed?
    Any input is greatly appreciated.

  2. #2
    Sioux Falls South Dakota
    Default Bundled code
    Medicare considers this a bundled code and as such will not pay for it separately. If your commercial insurances base their fee schedule/reimbursement policies on Medicare, they won't pay for it either. You should check with each insurance company you are contracted with; but I really think most of them will also deny it as bundled.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

Similar Threads

  1. A4212 Non Choring Needle
    By PeaPod1 in forum Hematology/Oncology
    Replies: 0
    Last Post: 05-03-2010, 01:15 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.