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INFUVITE

Lina Posted Tue 20th of December, 2016 15:44:55 PM
Can you please help on how to bill infuvite? Need CPT code THANK YOU
SuperCoder Answered Wed 21st of December, 2016 02:31:16 AM

Merry Christmas!

For intravenous infusion of drug, you should choose code from the following codes:

  1. 96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
  2. 96366 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
  3. 96367 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)
  4. 96368 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)

You need to specify the substance or drug infused and bill HCPCS code too.

Please feel free to write if you have any concern or questions.

Thanks.

Lina Posted Wed 28th of December, 2016 13:07:15 PM
Hi, Happy Holidays!!! Thank your for your response, I knew the CPT code for IV itself, but don't know how to code infuvite (multiple vitamins)? Thank you
SuperCoder Answered Thu 29th of December, 2016 02:23:41 AM

Hi,

 

Infuvite is given for vitamin deficiency. It should be diluted with intravenous infusion fluids like intravenous dextrose, saline or similar infusion solutions. You cannot administer this as a direct, undiluted intravenous injection.

 

It should be reported in the following way:

 

  1. If the provider performs IV infusion of the same drug for up to one hour, use code 96365.
  2. If the provider performs IV infusion of the same drug for more than one hour, use add on code 96366 for each additional hour.
  3. If the provider performs IV infusion of an additional intravenous infusion of a different medication/substance for a period up to one hour, use 96367.
  4. If the provider performs a concurrent intravenous infusion of a different medication/substance for a period up to one hour, use 96368. Report 96368 only once per date of service.
  5. When multiple administrations are individually prepared, these services are recognized and reported as individual administrations. You should not code on the basis of total time of all administration but should consider the time frame of each separate administration service for the same or different drugs.

 

NOTE:- According to CPT® guidelines for hydration and therapeutic, prophylactic, and diagnostic injection and infusion codes, these codes are not intended to be reported by the provider in the facility setting.

 

We hope this answers your query.

 

Please feel free to write if you have any concern or questions.

 

Thanks.

Lina Posted Thu 29th of December, 2016 13:43:28 PM
Thanks again for your help, I'm a little confused here how would you could this scenario? patient came in and brought his B12 & Vit C, and our doctor also provided infuvite (1hour)? Or another scenario patient just came in for infuvite for one hour? Thank you in advance
SuperCoder Answered Fri 30th of December, 2016 03:29:46 AM

Here is the solution to your scenarios:

 

  1. If a patient comes in and brought his medication (eg. B12 and Vit C) and the doctor also provided infuvite for 1hour, then there can be two scenarios:
    1. Infused one after another:- Report codes 96365 for infuvite for one hour, HCPCS code J3490 for infuvite, 96367 for other medications (eg. B12 and Vit C).
    2. Infused both simultaneously:- Report 96365 for infuvite for one hour and report its HCPCS code J3490. Report 96368 for other medications (eg. B12 and Vit C).
  2. If a patient comes in and the doctor provided only infuvite for 1hour. In this case, you should report code 96365 and its HCPCS J3490.

 

We hope this helps.

 

Please feel free to write if you have any concern or questions.

 

Thanks.

Lina Posted Tue 17th of January, 2017 10:00:27 AM
HI, we started billing J3490 for Infuvite and getting denials from Medicare that's not enough info in Box 19, we only specify the name of the drug and NDC#. Can you please tell me what else should be in box 19? (denial states: "lack of info") Thank you
SuperCoder Answered Wed 18th of January, 2017 02:41:35 AM

Greetings from SuperCoder.com!

In box 19, you should enter the drug’s name and dosage when submitting a claim for Not Otherwise Classified (NOC) drugs. Also please attach documentation to support.

Please feel free to write if you have any concern or questions.

Thanks.

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