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Medicare changing administration billing

  1. #1
    Default Medicare changing administration billing
    Medical Coding Books
    Did everyone see that Medicare is changing the administration billing method for patients who bring in their own meds?
    Dawnelle Beall, CPC, CPMA, CPC-I
    Licensed AAPC PMCC Instructor
    AAPC ICD-10CM Certified Trainer
    Previous AAPC Local Chapter President & VP

  2. #2
    Greeley, Colorado
    Yes! Suddenly all 96413-96415 are being down-coded to 96365-96366. I have an inquiry into our MAC (Trailblazer) as to why these drugs are suddenly not considered as "highly complex" drugs even though I have documentation stating that they are...and why are they changing our codes without reviewing notes??
    How is everyone handling this?
    Lisa Bledsoe, CPC, CPMA

  3. Default 96413 and 96415

    can you please help me?

    when a patient starts today at 6:00 pm a chemo 96413 and have 7 more hours 96415 obviously will finish at 2:00 am, how should I code that? if the chemo continues to the next day?

    thank you in advance for your help

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