AAPC - Back to school
Results 1 to 4 of 4

Thread: Billing 96523....

  1. #1

    Default Billing 96523....

    AAPC: Back to School
    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
    Join Date
    Apr 2007


    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
    Join Date
    Apr 2007


    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
    Join Date
    Apr 2007
    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.

Similar Threads

  1. 99211 and 96523
    By bjmon83 in forum Hematology/Oncology
    Replies: 1
    Last Post: 08-21-2012, 04:44 PM
  2. CPT code 96523
    By akmorgan in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-16-2011, 01:27 PM
  3. 96523 w/ j1642
    By heidi3 in forum Hematology/Oncology
    Replies: 1
    Last Post: 02-12-2011, 07:22 AM
  4. code 96523
    By psteinke in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-16-2010, 03:04 PM
  5. 36591 & 96523
    By BoeJerger in forum Hematology/Oncology
    Replies: 1
    Last Post: 12-11-2009, 12:59 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.