Results 1 to 5 of 5

62318/9 billed with 01996

  1. #1
    Location
    Fort Smith, AR
    Posts
    42
    Question 62318/9 billed with 01996
    Medical Coding Books
    I can't seem to find any new information on this since 62318/9 changed this year. If the patient is admitted, catheter placed for pain pump eval, stays overnight, could both 62319 and 01996 be billed? I'm not seeing them bundled on for the physician side... Thanks for any help.
    Last edited by Ldari; 02-14-2012 at 12:41 PM.


    Darla Sims CPC, CPC-H

  2. #2
    Location
    Virginia Beach Local Chapter
    Posts
    997
    Default
    In Virginia you can bill for the insertion of the pain cath and then on the next day you can bill for the 01996 for the daily manangement or discountining of the cath. Our Medicare carrier is Palmetto. You can not bill for both on the same day, as any redose or management on the same date as insertion is included. Hope this helps.
    Last edited by JudyW; 02-14-2012 at 07:31 PM.
    Judy Wilson, CPC,COC,CPCO,CPPM,CPB,CPC-P,CPC-I,CANPC,AAPC FELLOW,CMRS

    Past AAPC-CA BOD 2010 - 2013 & 2015 - 2017


    judy@anes.hrcoxmail.com

    Nothing is impossible, the word itself says ‘I’m possible’!
    -Audrey Hepburn

  3. #3
    Location
    Fort Smith, AR
    Posts
    42
    Default
    The part I'm confused on is, since 62319 would have to be two calendar days of continuous or bolus infusion then you couldn't bill for 01996 unless the patient was in the hospital beyond the two days. Is that correct?


    Darla Sims CPC, CPC-H

  4. Default
    No, you can bill immediately the day following the placement as management, when the physician makes their rounds to simply check on the catheter.

  5. #5
    Location
    Fort Worth Chapter
    Posts
    36
    Default 62318/9 - 01996
    We bill the 62318/9 for the day the cath was placed, and 01996 for the day the cath was removed. Any day(s) in between those 2 days is also 01996 as long as they document all of the dates they saw the patient.

Similar Threads

  1. 01996 with AA modifier??
    By brantjea in forum Anesthesia
    Replies: 2
    Last Post: 08-13-2017, 04:08 PM
  2. Daily rounds (01996)
    By Licorice5 in forum Anesthesia
    Replies: 1
    Last Post: 06-30-2011, 11:14 AM
  3. Modifier on 01996?
    By hannabanana in forum Anesthesia
    Replies: 4
    Last Post: 01-19-2010, 01:36 PM
  4. Documentation for 01996
    By mray32 in forum Anesthesia
    Replies: 0
    Last Post: 11-20-2008, 10:34 AM
  5. 62318 billed twice in one day?
    By sslovisone in forum Anesthesia
    Replies: 1
    Last Post: 06-10-2008, 12:53 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.