Results 1 to 6 of 6

Can you bill 96375 multiple times within 30 minutes.

  1. Default Can you bill 96375 multiple times within 30 minutes.
    Medical Coding Books
    I know that you can bill 96376 (same drug) only if 30 minutes has elapsed. My question is can you bill 96375 (different drugs) if they are given within 30 minutes of each other.

    Example:
    IV Push #1 given at 11:05 to 11:10
    IV Push #2 (different drug) given at 11:12 to 11:15

    Would this be coded as 96375 x 1 or 96375 x 2?

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by nancy.mash@utsouthwestern.edu View Post
    I know that you can bill 96376 (same drug) only if 30 minutes has elapsed. My question is can you bill 96375 (different drugs) if they are given within 30 minutes of each other.

    Example:
    IV Push #1 given at 11:05 to 11:10
    IV Push #2 (different drug) given at 11:12 to 11:15

    Would this be coded as 96375 x 1 or 96375 x 2?
    It appears from the description you can use 96375 for each NEW drug, so you can bill it twice. I would bill two separate line items with the drug that was administered listed under the corresponding 96375 line. A 59 modifier is allowed with 96375 so you might need to use that to show two separate IV push drugs were done.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. Default
    I am talking about billing quantity of 2, not a seperate line. Is is acceptable to bill 96375 x 2if two seperate drugs are given within the same 30 minute time frame?

  4. #4
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by nancy.mash@utsouthwestern.edu View Post
    I am talking about billing quantity of 2, not a seperate line. Is is acceptable to bill 96375 x 2if two seperate drugs are given within the same 30 minute time frame?
    Sure, you could bill it that way. I just thought perhaps it would be more clear on the claim if you billed it as two separate line items. Some payers may not accept the unit billing on the 96375, it will depend on how they look at the billing.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  5. Default
    Thank you.

  6. Default
    Thank you very much for your help.

Similar Threads

  1. Use of 96372 multiple times
    By Jennercoder in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-18-2014, 08:02 AM
  2. 19301 multiple times same breast
    By SUEV in forum General Surgery
    Replies: 2
    Last Post: 08-20-2014, 01:56 PM
  3. Billing 76942 multiple times
    By Kimberley in forum Modifiers
    Replies: 1
    Last Post: 01-01-2011, 07:38 AM
  4. Nebulizer multiple times
    By NJcoder in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 01-15-2009, 09:59 AM
  5. 17108--multiple times?
    By mgnitecka in forum Dermatology
    Replies: 1
    Last Post: 04-28-2008, 04:57 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?

Login

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.