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Billing 96523....

  1. Default Billing 96523....
    Medical Coding Books
    When billing a 96523, port flush can you bill the J1642 as well? And if so do I need a modifier on this code?
    Finance Analyst

  2. #2
    We usually don't charge for the 96523 at all, as it not covered with any other services given that day. We do charge for heparin, at least for insurances that still cover it.

  3. #3
    Per the AMA CPT guidelines: Do not report 96523 if any other services are provided on the same day. Therefore if other services were performed you need to bill what is the higher in RVU's. I will bill all the admin charges and medications and not the port flush. Hope this helps.
    Kiana CPC, CPC-H, BCS-M, BCS-R

  4. #4
    Grand Rapids, MI
    We bill 96523 along with J1642 (no modifier) when that is the only thing done that day.
    Last edited by abc1099; 10-05-2010 at 06:11 AM.

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