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Thread: Zometa inj for Hospice Patient

  1. #1

    Question Zometa inj for Hospice Patient

    AAPC: Back to School

    We have a patient on Hospice status that came to our hospital based infusion center for a Zometa injection. How do we bill for this? What codes to use so we get paid for the service. Help

  2. #2
    Join Date
    Apr 2007
    Sioux Falls, SD


    In SD when a pt is on Hospice the Hospice provider is billed for any service. Almost like if the patient was on a skilled nursing facility stay how certain codes are billed to the Nursing Home.

  3. #3
    Join Date
    Apr 2007
    Bettendorf, Iowa


    It depends on the insurance company. Some insurances will not pay for active treatments once a patient is hospice.

    For something like zometa its probably not on an excluded list but you may be able to bill with a modifier. Most likely you'll be at the mercy of the hospice facility to agree to pay for it and they will probably try to negotiate pricing.
    Last edited by relong; 08-10-2011 at 01:15 PM.
    Ruth Long CPC,CHONC

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