AAPC - Back to school
Results 1 to 2 of 2

Thread: IV Therapy

  1. #1

    Default IV Therapy

    AAPC: Back to School
    I work in a clinic that has an Urgent Care attached to it. Our clinic physicians order IV antibiotic therapy for patients with complicated infections and the service is provided in the UC setting. For example, they order IV Rocephin for cellulitis. We are a non-facility provider, using POS 20 for all UC services. Lately we've been getting denials from insurance companies stating that the service does not meet Medicare guidelines. I searched CMS website and found information about chemotherapy IVs, but nothing that fits the kind of treatment we are doing. Any input about this subject would be greatly appreciated.

  2. #2
    Join Date
    Apr 2007


    Have you searched the LCD edits to see what diagnosis are medically necessary for the procedure code you are using?

Similar Threads

  1. What to bill for Sexual Addiction Therapy? What is the average cost of Therapy?
    By kaylaoliver2013@gmail.com in forum Behavioral Health
    Replies: 1
    Last Post: 10-02-2013, 05:47 AM
  2. Occupational Therapy doing speech therapy
    By petersonkara in forum Outpatient Facilities
    Replies: 1
    Last Post: 09-10-2013, 07:52 AM
  3. physical therapy modifier when annual therapy limit reached
    By nadinecrowley@yahoo.com in forum Billing/Reimbursement
    Replies: 2
    Last Post: 04-22-2013, 01:26 PM
  4. Indivudual Therapy and Family Therapy on same DOS
    By chickman4 in forum Behavioral Health
    Replies: 3
    Last Post: 02-24-2012, 07:31 PM
  5. Codes for Music Therapy/Art Therapy/Recreational Therapy
    By msmit424 in forum Behavioral Health
    Replies: 1
    Last Post: 10-06-2010, 05:29 PM

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?


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.