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Thread: 5fu with a pump and mues

  1. #1
    Join Date
    Apr 2007

    Default 5fu with a pump and mues

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Spokane WA


    I put -KD modifier on the J9190

  3. #3
    Join Date
    Apr 2007


    Do you bill for the pump?

  4. #4
    Join Date
    Apr 2007


    Do you bill the j9190 KD to Medicare of DMERC?

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