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48 Hour infusion pump

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 J1642 & 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.

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