Jennifer Posted Mon 02nd of April, 2012 18:33:16 PM
If a patient comes in for chemotherapy on Day 1 and has a 48 hour pump that they go home with when they come back on Day 2 to have the pump deaccessed how is Day 2 billed? We had an auditor come in that said only bill
J7050 for the removal of the pump because there are no other drugs being administered as well as its the same needle from Day 1 so you can't bill a port flush. Is this correct?
SuperCoder Answered Mon 02nd of April, 2012 21:19:37 PM
It seeems correct to me also.According to the American Medical Association CPT, a port flush, 96523, is not separately billable when a drug infusion or injection is provided on the same day. For Medicare patients, a port flush is only billable when no other Medicare Physician Fee Schedule service is provided.