Page 2 of 2 FirstFirst 12
Results 11 to 12 of 12

new to chemo

  1. #11
    Columbia, MO
    Exam Training Packages
    I do not think it is a difference in Payer interpretation, The AMA is pretty clear in how this is to be done they use to (and may still) have a very good complete instruction on how to code infusions on the AMA website. It is not abiguous at all.

    Debra A. Mitchell, MSPH, CPC-H

  2. #12
    Nashville AAPC Chapter
    I am going to add my experience here so that anyone reading this thread will have additional information to learn from. I am agreeing with Helen based on my experience from reading audit reports on our Oncology clinic.

    We have been told to view infusion time just like a time line and if there is overlap with infusions (pushes or infusions) then you cannot bill for both. They are considered bundled. We cannot double dip the time for the work by infusion. There must be administration into two different holes into the patient to be able to bill separately.

    The compazine push time runs concurrently with the chemo and it cannot be billed. This is not an infusion by definition so a 96368 is not appropriate. It is by definition a push as it runs less than 15 minutes.

    The only drug that comes to mind that you can bill as concurrent is Leucovorin. Because it is usually into a separate line from the chemo drug.

    In addition:
    We also recieved several denials from insurance companies after submitting our records and they stated that the push within the start/stop time of the infusion into the same line/hole for the patient is not allowed. This would be the same if two drugs were given as an infusion. Only code for one infusion.

    I hope this helps a little more.

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Chemo Physician billing for "Intratheacal Chemo"
    By Celina in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-03-2014, 07:52 AM
  2. Chemo f/u
    By karey in forum Hematology/Oncology
    Replies: 2
    Last Post: 01-12-2013, 07:22 AM
  3. please help im new to chemo
    By NJcoder in forum Hematology/Oncology
    Replies: 5
    Last Post: 07-05-2012, 04:03 PM
  4. IP Chemo
    By krssy70 in forum Hematology/Oncology
    Replies: 7
    Last Post: 11-04-2010, 10:49 PM
  5. Chemo ?
    By cpccoder2008 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-06-2009, 11:55 AM

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.

Get OurFREE2017SalarySurvey.

We'll email you a link to our 2017 Healthcare Salary Survey when it is available so you can see your earning potential.