Concurrent infusion coding examples. Misuse of hierarchy and modifier 59. C. Prolonged infusions requiring a pump are coded to C8957 for Medicare patients. • In order to report a concurrent administration, the drugs cannot simply be mixed in 1 bag; there must be more than 1 bag. Example is in the slide presentation, slide No. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Concurrent nonchemotherapy infusion should be assigned code 90768 with a unit of one per encounter. How do you bill chemo infusion? Sequential Infusion or Injection Report CPT s 96366, 96367, 96375 to identify a therapeutic, prophylactic, or diagnostic drug AHIMA provides various tips to mitigate compliance concerns such as adhering to CPT coding rules, thorough documentation, resolving edits, periodical internal and external audits, etc. During the presentation I dove into CPT Hydration codes, Therapeutic, Prophylactic and Diagnostic Injections and Infusions G0350 - CONCURRENT INFUSION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) REPORT ONLY ONCE PER SUBSTANCE/DRUG REGARDLESS OF DURATION, REPORT G0350 IN CONJUNCTION WITH G0345. Determination of coding involvement and focused education provided for proper coding and modifier assignment. ASCO's Coding and Reimbursement Hotline continues to receive questions regarding concurrent infusions. IV Clindamycin, right from 11:23-2:23 (3 hours) and 6:00-9:30 (3. 01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 Fax: 703-683-1484 www. When you are simultaneously infusing two bags of therapeutic drugs into the same line, irregardless of the number of drugs per bag. Associated Services xx1050z iv infus 1st hr 96365 260 930 op infusion $ 135. The guidelines for coding Neoplasms are below. skin tag excision. 5 hours); total reportable hours is 6 (the additional 30 minutes is not reported because the code requires more than 30 minutes [e. These changes can be a source of billing errors. Only to be used in conjunction with IVIG infusion bills. CHARTS REVIEWED CLAIMS CODED CLAIMS SUBMITTED DENIALS APPEALED 10 or fewer 51 55 59 4 11 to 25 34 70 54 4 26 to 50 54 46 44 5 GOAL - example (HIM) • Example: • Happy Hospital Coding/HIM Compliance Auditing and Monitoring will determine adherence to AHA’s Coding Clinic guidelines, approved CMS guidelines, and compliance with established Happy Hospital internal coding compliance policies and procedures for all ICD-9-CM code assignments. For a comprehensive practice test, covering both the AAPC CPC exam and the GOAL - example (HIM) • Example: • Happy Hospital Coding/HIM Compliance Auditing and Monitoring will determine adherence to AHA’s Coding Clinic guidelines, approved CMS guidelines, and compliance with established Happy Hospital internal coding compliance policies and procedures for all ICD-9-CM code assignments. 5 mg/6 mg = 1 Unit If you use 1. Billed once per IVIG infusion session. took place (unless a code is specifically described as non-face-to-face in the CPT® or HCPCS. CPT CODE J2001 INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG S9379 is a valid 2022 HCPCS code for Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem or just “ Hit noc per diem ” for short, used in Other medical items ICD-10-CM code U07. You should be sure to bill 10 units of J1745 on the claim form when indicating that a single 100-mg vial of REMICADE ® was used. nhia. • The second chemo drug is reported as an additional sequential and the additional hour code for the 35 minutes (96417, 96415). The Cisplatin would be run into the port and the Leucovorin would be run into the dorsal site of the patient's arm. For example, we've run articles now and then about commercial color code schemes for ophthalmic products where color is assigned as an indicator of pharmacological category. Q: What is definition of “concurrent” and can you give us an example? A: Concurrent is a drug that is given at the same time through the same line. 0 cc 6 mg/6 mg = 2 Units. 16 Mar 8, 2017 (CPT codes 96372-96379), infusion (CPT 96365-96371) and . 00 xx0051z iv infus concurrent 96368 260 930 op infusion $ 60. Reporting of secondary and/or chronic conditions are often not reported for outpatient encounters. A. Any therapeutic, prophylactic, diagnostic (TPD), or chemo infusion administered for <=15 minutes is considered an IV push (IVP). Identification of the departments that utilize these charges. Unfortunately, there are frequent dispensing errors within the categories and patients receive the wrong drug (see photo below as an example). 00 Short Description 2nd concurrent infusion ther Short descriptive text of procedure or modifier code (28 characters or less). These guidelines are for medical coders who are assigning diagnosis codes in a hospital, outpatient setting, doctor’s office or some other patient setting. The AHIMA exam has between 90 and 115 questions and must be completed in two hours. 75 cc 4. SIZE OF CODING DEPARTMENT CODERS/BILLERS IN CODING/BILLING DEPT. 16 xx1050z iv infus 1st hr 96365 260 930 op infusion $ 135. book). The non-chemo infusion began at the same time as the chemotherapy infusion The guidelines for coding outpatient records are very clear in the OCG. Also, ensure coding or charging staff have been educated on the rules and guidance for coding in this area. Other payers may need to be queried for an appropriate crosswalk. 1 vial = 10 units. 89 for the same service if it involved a nonchemotherapy drug and $60. . When would I bill a concurrent infusion? a. The questions and answers in this article are designed to provide additional Best answers 0 Feb 12, 2011 #2 Cisplatin and Leucovorin is a treatment plan that would be an example of a concurrent infusion. 1 vial = 10 units 2 vials = 20 units 3 vials = 30 units 11. FIGS. From the list presented for this data field , choose the best match to the treatment target volume. Concurrent infusions (CPT add-on code 96368) are only reported once per day regardless of whether the concurrent infusion lasts for multiple hours If an infusion is started in the ED or clinic visit preceding observation subsequent or concurrent hours of infusion may be coded in observation but the initial service codes would not be coded a second time, unless a second IV infusion site was initiated. non-chemotherapy. 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour S 96361 Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) S The key to coding for hydration therapy is the fluid and its clinical utility. 5 mg/6 mg = 1 Unit If you use 0. INJECTIONS AND INFUSIONS Hierarchy of Reporting Sandy Sage R. Example: Chemotherapy. Coding. Add-on CPT code 96368 is listed separately in addition to code for primary procedure b. Presentation Transcript. Think of concurrent as two railroad tracks going into the patient in two different lines at the same time. 1, 2009 by 96360 – 96549, including codes 96360 – 96361 for IV hydration. These codes again were replaced Jan. For more information on this code, click here. infusion begins @ 9:00 AM until 11:00 AM – if a . HCPCS J0744 – Injection, ciprofloxacin for intravenous infusion, 200 mg. Example # 2 Chose the initial code based on the reason for the encounter. CPT code 96522 (Refilling and maintenance of implantable pump or reservoir for drug delivery, Last year, I presented the webinar “Infusion Confusion: An Auditor’s Guide to Understanding Infusion Services” where I focused on reducing the common confusion around auditing Chemotherapy and other infusion services. Add-on code 69990 is used to report a/n A. nonchemotherapy administration codes (see Table 1). The guidelines are based on the coding and sequencing instructions from the Tabular List and the Alphabetic Index in ICD-10-CM. Concurrent service is only allowed once per encounter. Outline of the charge capture process for these areas. b. EMRs may make it easy to carry prior information forward to “today’s note. 00 xx0953z ivp inj initial med 96374 940 930 op infusion $ 65. 5 cc 3 mg/6 mg = 1 Unit If you use 0. Brachytherapy, radioisotopes and infusion therapy: Early reports from registrars indicate Coding metrics by practice size, location The size of a coding department or the number of providers at the practice can affect coders’ productivity metrics. For example, in 2008 Medicare allowed, on average, $161. 11. 00 per infusion. 6. The first volume treated may be metastatic and remote from the site of origin of the tumor. pdf Concurrent chemotherapy should be assigned code 96549. external ear incision. In the physician practice, the initial service is the primary reason for the visit. • The hydration code for additional hour is used since it is beyond 31 minutes (96361). 13. CPT code 96522 (Refilling and maintenance of implantable pump or reservoir for systemic drug delivery) and CPT code 96521 (refilling and maintenance of portable pump) shall not be reported with CPT code 96416(initiation of prolonged intravenous chemotherapy infusion (more than eight hours), requiring use of Drug administration codes G0345 – G0363 were replaced by CPT codes 90760 – 90779. Injections are designated according to the infusions • 96369-96371 • Other, therapeutic, prophy. Omitting and/or failure to report these diagnoses do not paint a complete If an infusion is started in the ED or clinic visit preceding observation subsequent or concurrent hours of infusion may be coded in observation but the initial service codes would not be coded a second time, unless a second IV infusion site was initiated. Total units billed is 6. For example, coders or nurses must report 96367 for each additional hour of sequential infusion in addition to a code for the primary procedure. 56 if it involved a hydration solution. 12. Answer: 32 • 50 minute infusion 1st chemo drug = 96413 (initial) • 2 hours, 45 minutes infusion 2nd chemo drug = 96417 (each sequential) and 96415 x 2(each additional) • 3 separate non-chemo IV pushes of different substances = 96375 x 3(each additional sequential) Example # 3 For example, if the initial administration infuses for 20 to 30 minutes the provider would bill one unit because the CPT ® (Cu rrent Procedural Terminology) /HCPCS (Healthcare Common Procedure Coding System) code states 'initial up to or first hour'. If an injection or infusion is of a subsequent or concurrent nature, even if it is the first such service within that group of services, then a subsequent or concurrent code should be reported. How do you bill chemo infusion? Sequential Infusion or Injection Report CPT s 96366, 96367, 96375 to identify a therapeutic, prophylactic, or diagnostic drug • Sequential Infusions: an infusion or IV push of a new substance following a primary or initial service 16 minutes or more – Requires a new substance or drug b) Concurrent Infusions occurs at the same time as the initial infusion a. 7. (Examples: Banana bags, heparin, nitroglycerin, antiemetics, antibiotics, etc. This includes understanding how to code for sequential, concurrent, IV push, injections, and hydration during the same encounter. Per the CPT Code description this is of another or different infusate (drug). He presents for an add-on visit after developing bloody drainage along the middle of the incision over the last 2 days. For example, where a patient is The medical coder exam must be passed to earn certificaiton. , dx, injection/infusion services • 96372-96376 • Unlisted • 96379 7 Review of Drug Administration Concepts that Remain in Place for 2009 • The CPT guidelines and hierarchy must be followed • One code in each category of intravenous infusion and injection drug administration • You can only report the sequential infusion code once per infusate mix • Different drug or infusate mix given >15 mins and <91 mins Example: two pre-medications (not compatible, not mixed in a single bag) is billed at two units, or 96367 X 2; Example: two pre-medications (compatible and mixed in same bag) is examples on pages 8-10. D. Short Description 2nd concurrent infusion ther Short descriptive text of procedure or modifier code (28 characters or less). Day 2: 96366 x5, 96375, and 96361-2. Reporting of multiple infusions of the same substance/drug is slightly different. Document to the problem, not the code. Payment • Concurrent infusion code is reported only once per encounter. With few exceptions, you should only ever use ONE of these codes on any billed visit. if the infusion was for hydration (most common reason in urgent care for infusions); or; if 96369 is not coded for the first hour. Improper billing of IV infusion and drug administration charges. Coverage Code I A code denoting Medicare coverage NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1. Access to this feature is available in the following products: Find-A-Code Essentials; HCC Plus; Find-A-Code Professional; Find-A-Code Facility Base When the patient presents for the set-up/activation of the pump and the initial filling of the pump or pump cassette, the appropriate chemotherapy administration code for the pump infusion should be reported (code 96416 and 96425, respectively). A: The AMA defines a concurrent infusion as one in which two drugs are simultaneously infused or multiple infusions are provided through the same intravenous line. ” However, the volume of documentation should not be the main driver of code selection. sequential D. The quantity billed for 3 doses is 600ml. • E0781—Ambulatory infusion pump, single or multiple Continued transcatheter thrombolytic infusion (s) on subsequent day (s), other than initial day and final day of treatment, is reported with code 37213. The product-specific HCPCS code for Infliximab is J1745, infliximab, 10 mg. CPT code 96522 shall not be reported for accessing a non- programmable implantable intravenous device for the provision of infusion(s) or chemotherapy administration. Your best bet would be a Minor Schema of Concurrent Infusions (12,800gp for a minimum CL one), which bypasses that cost and lets you infuse Personal Weapon Augmentation into something. 00 xx1051z iv infus ea addl seq 1hr 96367 260 930 op infusion $ 60. service. Initiation and completion of thrombolysis performed on the same day is reported by 37211 or 37212. org In the example below, the original form is 400mg in 200ml of dextrose. release of a drug at a prescribed rate. Infusion: Administration of diagnostic, prophylactic, or therapeutic intravenous (IV) fluids and/or drugs given over a period of time. Infusion Supplies A4222 X 1st hr inf 90765 Addl hr(s) inf 90766 Infusion Sequential 90767 Infusion, Concurrent 90768 Drug(s) list separately HCPCS Code(s) Chemo Drugs Office Visit -25 E/M Monoclonal antibody agents Infusion supplies A4222 X This includes: Hydration Inf 90760 Remicade Addl hr(s) hydration 90761 Tysabri Infusion, sequential 90767 additional sequential infusion, up to 1 hour (List separately in addition to code for primary procedure), [16-60 minutes and a different drug] 96368 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure). The final day of transcatheter thrombolytic infusion (s) is reported with code 37214. therapeutic B. Non-Chemotherapy Injection and Infusion Services_2017A. 3-6 illustrate a resin infusion apparatus for infusing a fiber preform 40 with differing resins 28, 32 using any one of several known vacuum infusion processes. CONCURRENT INFUSION: • Concurrent Infusion is the service in which multiple infusions are provided simultaneously through the same venous access site, or IM/SQ (no mention of initial) •. In addition, problems can occur with use of codes and supporting documentation. The hydration that runs concurrently with the chemotherapy would not be coded separately. It’s important to note, the concurrent infusion code for nonchemotherapy infusions only is 90768. CHARTS REVIEWED CLAIMS CODED CLAIMS SUBMITTED DENIALS APPEALED 10 or fewer 51 55 59 4 11 to 25 34 70 54 4 26 to 50 54 46 44 5 Schemas can't be made of any infusion that has an expensive material component or focus, or has an exp cost. These guidelines are provided for use by hospitals/providers and provider-based office visits. simultaneous C. S9379 is a valid 2022 HCPCS code for Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem or just “ Hit noc per diem ” for short, used in Other medical items Endorsed by the 30 state HIMAs, For The Record is the nation's leading newsmagazine for health information professionals such as Transcriptionists, Certified Medical Transcriptionists, Coding Specialists, HIM Educators, HIM Directors, HIT professionals, EHR, EMR, Information Systems Directors, and more! Coding metrics by practice size, location The size of a coding department or the number of providers at the practice can affect coders’ productivity metrics. IV Infusion Therapy. g. Modifiers SH (second concurrently administered infusion therapy) and SJ (third or more concurrently administered infusion therapy) must be indicated with the HCPCS code, as appropriate. The code 96370 is an add-on code to code for hours subsequent to the first hour. A concurrent infusion occurs when multiple infusions are provided simultaneously through the same intravenous line 90768 Concurrent infusion (List separately in addition to code for primary procedure) 9 90765 for the first antibiotic 90768 for the concurrent infusion of antibiotic 90775 for the sequential IV push drug 10 • Concurrent codes are not to be used for multiple drugs within the same bag • Typically concurrent is used for “gravity drip” infusion methods • 96368 (concurrent infusion) - report once per date of service • If additional hours of infusion, report 96366 8 Injection and Infusion Coding Scenarios Answer: Coders should use 96365 for the first hour of infusion, 96366 for the second hour of infusion, and for the IV push of the same drug. For example, if a patient receives an IV push following an initial one-hour infusion, the IV push is reported as a subsequent service. When the patient presents for the set-up/activation of the pump and the initial filling of the pump or pump cassette, the appropriate chemotherapy administration code for the pump infusion should be reported (code 96416 and 96425, respectively). concurrent. • For infusions up to 60 minutes there is an initial code and for each additional hour there are different codes. 00 xx1055z iv infus ea addl hr 96366 260 930 op infusion $ 50. • The initial code that best describes the key or primary reason for the encounter should be always reported irrespective of the order in which the infusions or injections occur. The preform 40 is supported on a resin infusion tool 34 and is infused using first and second resin delivery assemblies 36 , 38 which respectively deliver two differing resins 28 96367 additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure) 96368 concurrent infusion (List separately in addition to code for primary procedure) 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 11. The AAPC medical coding exam has 150 multiple choice questions and five hours and forty minutes is given to complete the exam. The breakdown for this coding is as follows: Day 1. ) Injection: The act of forcing a liquid into the body by means of a needle and syringe. Concurrent infusions (CPT add-on code 96368) are only reported once per day regardless of whether the concurrent infusion lasts for multiple hours 90767 Additional sequential infusion , up to 1 hour 90781, G0349 (MC) 90768 Concurrent infusion, up to 1 hour G0350 (MC) G0332 New TEMPORARY Medicare Code effective 1/1/06-Add on code. The product-specific HCPCS code for REMICADE ® is J1745, infliximab, 10 mg. If the drugs are being infused at the same time in 2 different bags, then an initial infusion code and the concurrent code should be reported Example: Coding . When the additional sequential infusion is provided as a secondary of subsequent service after a different initial service is administered through the same IV access site, they must report 96367 in 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour S 96361 Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) S The key to coding for hydration therapy is the fluid and its clinical utility. You should be sure to bill 10 units of J1745 on the claim form when indicating that a single 100-mg vial of Infliximab was used. The AMA owns the copyright on the CPT codes and descriptions; CPT codes and descriptions are not public property and must always be used in compliance with copyright law. [once per encounter] IM/SQ (no mention of initial) •. The second piece provided information on the coding resources that are specific to anesthesia. 00 An infusion of 15 minutes or less is an IV Push; The key takeaways to avoid potential lost revenue from medication administration are to ensure accurate and complete documentation of all medication services. CPT CODE J2001 INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG ICD-10-CM code U07. Using coding examples, participants will gain an understanding of coding and billing drug and biological administration services by learning how the hierarchy or reason for encounter establishes the initial code. When one infusion follows another infusion, it's called a _______ infusion. 14. AAPC provides the following example to illustrate this: a patient who comes in for chemotherapy also gets an antibiotic injection and a hydration infusion. By contrast, Medicare would allow $73. The above description is abbreviated. , at least 31 minutes]) Per the CPT Code description this is of another or different infusate (drug). 1, COVID-19, may be used for discharges/date of service on or after April 1, 2020. Reimbursement for the second or subsequent concurrent infusion of same therapy class will be at 50 percent of normal per diem for that code. Hydration (initial) (96360-96361) Concurrent Service (96368) Report this code when a new substance or drug is infused at the same time as another substance or drug. Because anesthesia care is provided under a variety of scenarios, proper billing and coding and payment requires an understanding of the modifiers that are used to communicate how the care was provided as well as how they impact payment. middle ear incision. IV PUSH An IV push is defined as an injection The Healthcare Common Procedure Coding System (HCPCS) codes that identify the pumps used in prolonged infusions and the related equipment and/or supplies are as follows: • E0779—Ambulatory infusion pump, mechanical, reus-able; for infusion of 8 hours or greater. Injection and Infusion Coding Scenarios Answer: Coders should use 96365 for the first hour of infusion, 96366 for the second hour of infusion, and for the IV push of the same drug. Therapeutic, Prophylactic, Diagnostic When a subsequent or concurrent injection or infusion is done, a subsequent or concurrent code is reported. Coverage Code I A code denoting Medicare coverage For infusion billing, there is an “Initial Service” rule that says you can have only one initial service code per visit. CMS directs facility providers to follow CPT rules for coding injections and infusions. But not always. If an additional drug is administered and infused for 20 minutes no additional units would be billed, as the one hour increment has not been exceeded. • The first antiemetic is coded with an additional/sequential therapeutic code (96367). 49 for the first hour of intravenous chemotherapy infusion (plus payment for the drug itself). Q: If a second drug is added to the bag for intravenous administration, can the For infusions of 16-90 minutes, you should code with 96369 alone. concurrent infusion (List separately in addition to code for primary procedure). Finally, the infusion of Decadron would be reported with CPT code 96367 (intravenous infusion, for therapy, prophylaxis, or diagnosis; additional sequential infusion of a new drug/substance, up to one hour) for a sequential non-chemotherapy infusion. Endorsed by the 30 state HIMAs, For The Record is the nation's leading newsmagazine for health information professionals such as Transcriptionists, Certified Medical Transcriptionists, Coding Specialists, HIM Educators, HIM Directors, HIT professionals, EHR, EMR, Information Systems Directors, and more! Schemas can't be made of any infusion that has an expensive material component or focus, or has an exp cost. The code was developed by the World Health Organization (WHO) and is intended to be sequenced first followed by the appropriate codes for associated manifestations when COVID-19 meets the definition of principal or first-listed diagnosis. Leucovorin is used in some chemotherapy regimens to enhance the antineoplastic 96368(concurrent Infusion) confusion Since 96368 is an add-on code, it requires a primary or initial administration code so I interpret that instruction as being the primary admin codes that are required on the claim for 96368 to be billable, excluding add-on codes 96415 & 96366 for add’l hours. an evaluation and management code along with modifier 25 and: • Hydration • Therapeutic or diagnostic injections and intravenous (IV) infusions (other than hydration), and • Chemotherapy administration [Claims must include an appropriate outpatient hospital visit E&M CPT code with revenue code 096X, 097X, or 098X on bill type 85X. N. Looking at the table above, you will see that our initial service codes are 96413, 96365, 96360, 96409 and 96374. Each J-code based on particular quantity • J9201 = Gemcitabine 200 mg If the amount administered exceeds the J-code quantity, bill multiple units • 1600 mg Gemcitabine = 8 units J9201 If the amount administered falls between J - code units, round up • 1440 mg Gemcitabine given = 8 units J9201 Last year, I presented the webinar “Infusion Confusion: An Auditor’s Guide to Understanding Infusion Services” where I focused on reducing the common confusion around auditing Chemotherapy and other infusion services. 25 cc 1. Example: Ciprofloxacin 400mg daily x 3 days, original form of the drug is a solution (400mg/200ml). It is important to note that this code represents 1/10th of a vial. 2. During the presentation I dove into CPT Hydration codes, Therapeutic, Prophylactic and Diagnostic Injections and Infusions For infusions of 16-90 minutes, you should code with 96369 alone. Example#4 J0702 betamethasone acetate and betamethasone phosphate, per 3 mg (Celestone Soluspan 6 mg/ml) If you use 0. For example, the first IV push given subsequent to an initial one-hour infusion is reported using a subsequent IV push code. Know the current CPT codes: The 2019 CPT codes for injections and infusions are as follows: Hydration 96360 ‐ 96361. operating microscope. The Coding and Reimbursement Hotline receives many questions relating to the administration of leucovorin with an antineoplastic agent such as fluorouracil. IV INFUSION • A solution delivered at a specific rate, continuously over a period of time. Per H&P and this is also stated on OP note patient returns for routine followup, now 1 weeks out from surgery. In 2006, the current procedural terminology (CPT) Editorial Panel created a specific code, 90768, for concurrent infusions of nonchemotherapy drugs or substances. CPT code Description +76937 Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (list separately in addition to code for primary procedure). The CPT book provides clear guidance that concurrent infusion can be billed only once per patient encounter. infusion was also initiated @ 9:00 AM and ran until 10:00 AM, that would be coded as concurrent (96368). Prolonged infusions for 24 hours or longer may require that the pump or pump cassette be refilled. B. $69. Query for postop complication. primary site code. He has been avoiding active shoulder use and avoiding any lifting with His arm.


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Lucks Laboratory, A Website.