Linda Posted Wed 25th of September, 2013 12:14:20 PM
A pump was started for taxol at 12:10 for a patient. At 12:40 the nurse noticed the pump had leaked onto the floor. It is unclear how much taxol was wasted and how much the patient actually received. Can the administration be billed? Can the taxol be billed?
SuperCoder Answered Wed 25th of September, 2013 17:10:18 PM
Append 53 (Discontinued procedure) to 96413 (Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug).
Although CPT guidelines- definition of -push- includes -an infusion of 15 minutes or less,- 96413-53 more accurately describes the service provided than a push code does (such as 96409, Chemotherapy administration; intravenous, push technique, single or initial substance/drug).
Don't forget: If you-re coding for the drug, you should be able to report the entire amount, assuming you discarded it.