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Thread: bladder cocktail

  1. #1
    Join Date
    Apr 2007

    Default bladder cocktail

    AAPC: Back to School
    Does anyone know if there's some reason we cannot bill for the drugs used in the bladder cocktail (heparin, sodium bicarbonate, kenalog, marcaine...) that is instilled into the bladder for interstitial cystitis? Was told previously that we shouldn't/couldn't bill for these. Any help with this would be greatly appreciated.

  2. #2


    Medicare and some PPO's will allow you to bill for the instillation of the Heparin. I bill for them all the time. However if the patient has an HMO the plans require that you order the medication from the insurance Specialty pharmacy. Meaning you can only bill for the instillation and not the drug.

  3. #3
    Join Date
    Apr 2007

    Default bladder cocktail

    So the times that you do bill the drugs, you only bill for heparin? but not for any of the other drugs?

  4. #4


    What other drugs are you questioning?

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