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Thread: HIPEC billing and reimbursement

  1. #1

    Default HIPEC billing and reimbursement

    AAPC: Back to School
    Hi all! I have a new client that does the HIPEC procedure(Heated Intraperitoneal Chemotherapy) during surgeries, however, we have had difficulty getting it reimbursed appropriately because the insurance companies are considering it experimental.
    The codes we currently bill are as follows:
    CPT code 77605; Hyperthermia, externally generated; deep (ie, heating to
    depths greater than 4 cm)

    CPT code (49419; Insertion of intraperitoneal cannual or catheter, with
    subcutaneous reservoir, permanent (ie, totally implantable)

    CPT code 96445; Chemotherapy administration into peritoneal cavity,
    requiring and including peritoneocentesis.

    Does anybody have any suggestions on billing HIPEC for maximum reimburement?
    Thanks! -Lisa

  2. #2


    By chance, did you ever receive any answers ????

  3. #3

    Default HIPEC procedure

    Hello, I am writing in response to the HIPEC procedure. I recently coded a HIPEC case as listed below.

    Exploratory laparotomy, small bowel resection, tumor debulking and peritoneal chemotherpay perfusion(cytoreduction), possibe stoma - HIPEC procedure.

    Exploratory laparotomy 49000
    Small bowel resection 44120
    Peritoneal chemotherpy 96446
    Tumor debulking 49203

    Yvonne D. Hinton, CPC

  4. #4

    Default CPT 96446 and POS21

    Hi everyvody, we had biilled for some HIPEC service and notice that procedure 96446 is most of the time denail because of POS 21.
    Have you experience the same?
    Camilo Herrera CPC

  5. #5

    Default Hipec

    I have also gotten denials for using 96446 in place of service 21. I am going to experiment using the "Unlisted chemotherapy" code 96549. Or did anyone have a better idea?

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