1. Tanya Ocampo
   Posted 5 months ago #
   

   I never got a response to my last remark...
   Thanks!

   Tanya Ocampo
   Member
   Posted 4 weeks ago #

   A hospital here in our town is now requiring our GI physicians to perform a full H&P for all patients entering the hospital for outpatient Remicade infusions. Will this be a chargeable service for our physician or will it be considered global to the infusion service since the infusion is the service intended for the patient's outpatient hospital visit?
   Snayhil Rana
   Member
   Posted 4 weeks ago #

   If this is only H/P , then it will be inclusive.

   If your physician performed separately identifiable E/M services (have medical necessity) then it would be billed for physician.

   Hope this can help.
   Tanya Ocampo
   Member
   Posted 2 weeks ago #

   Is this also correct if our physician does not perform the injection, he is only ordering it? The injection is done by the outpatient facility at the hospital.

   I assumed it would be, but wanted to be sure...
   Thanks!!

2. SuperCoder
   Posted 5 months ago #
   

   Yes you are right. Even if your physician is ordering the injection but given in the outpatient facility by someone else, still it is to be considered incidental to the infusion services as the H&P service provided here is part of a policy to be performed before Remicade Infusion. Had there been an E/M service significantly separate distinct service not related to Infusion service, then we could have coded the E/M service.
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   The basic concept of inclusiveness can be inferred from:
   https://www.cms.gov/manuals/downloads/clm104c12.pdf
   http://www.gastro.org/practice/practice-management/e-m-services-and-drug-infusion-codes
   *
   I am sorry missing the attention of your question of too many questions from different corners. I will try my best that our experts here will answer to you in time. If at any point of time, you have not been answered in time, plz email me your question at: smishra@codinginstitute.com

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