Results 1 to 4 of 4

5fu with a pump and mues

  1. #1
    Default 5fu with a pump and mues
    Medical Coding Books
    I am still having problems with 5fu. I have a denial from Medicare re the mues placed on the drug they refered me to the coding and billing guidelines for billing for the drug that goes through the pump. We do not bill for the pump. I do bill 96416 the prolonged infusion that requiring the use of a pump. If the drug is used for the effectective use of a drug using a dme . I tried the break up on the codes with the 59 modifier and they still got rejected. Would appreciate anyones input.

  2. #2
    Spokane WA
    I put -KD modifier on the J9190

  3. #3
    Do you bill for the pump?

  4. #4
    Do you bill the j9190 KD to Medicare of DMERC?

Similar Threads

  1. 5FU ( Fluorouracil ) administration
    By lillianivy in forum Hematology/Oncology
    Replies: 0
    Last Post: 02-19-2015, 09:38 AM
  2. G0431 mues
    By jdonnelly in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 08-17-2010, 11:51 AM
  3. G0431 mues
    By jdonnelly in forum Medicare Regulations
    Replies: 0
    Last Post: 08-17-2010, 09:01 AM
  4. G0431 mues
    By jdonnelly in forum Billing/Reimbursement
    Replies: 2
    Last Post: 08-16-2010, 07:00 PM
  5. 5FU in the office and pump
    By dtricia in forum Hematology/Oncology
    Replies: 1
    Last Post: 01-13-2010, 02:08 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.