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Thread: Medicare changing administration billing

  1. #1
    Join Date
    Apr 2007

    Default Medicare changing administration billing

    AAPC: Back to School
    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

  2. #2
    Join Date
    Apr 2007
    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. #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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