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69807

Janette Posted Mon 11th of November, 2013 19:21:46 PM

Someone asked a question regarding '69801' recently. asking if they can bill a subsequent injection 2 weeks after initial injection with a modifier 58. The answer was no that this code had a 90 day global. I thought this code had no global period. RBRVS shows no global period. Is that response correct?? I have billed several follow up injections with that code and have gotten paid.

SuperCoder Answered Mon 11th of November, 2013 21:18:14 PM

Hi,

Very True and Thanks for pointing it out.

69801 had a global period of 90 days before 2011. This change on the number of global days means you can now report subsequent perfusions separately if performed on different dates. Don't forget to include the drug supply code when reporting subsequent perfusions. "This was important, because it was difficult to report the drug when a physician administered subsequent injections during the global period prior to this change"

"You can pull up the global days for 69801, and it will show it has zero,"

Billing the code one unit per visit (as indicated in the scenario) should not pose any problem as long as you document your claim properly.

"Patients who get gentamicin treatments have to remain in the office for at least 15-20 minutes after every injection to be monitored before they can leave. That is time and money to the practice, hence why this code has a relatively high RVU,"

I will modify the answer of the previous question.

Thanks once again.

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