Forum - Questions & Answers

Jan 21st, 2010 - Krystenak

coding remicade infusion?

What codes would be appropriate?
IV was placed at 845a, Remicade infused from 1010a to 1215p, NS at 850a and IV D/C at 1315p?

Jan 21st, 2010 - nmaguire   2,606 

Infusion J1745

Code only for time spent actually infusing the patient. Use 96413 for the first hour and 96415 for each additional hour (e.g. 2 hr. is 96413, 96415 x 1). Hydration is bundled into the Remicade infusion unless Hypovolemia or dehydration is present, documented, and an order written.

Jan 22nd, 2010 -

coding remdicade infusion?

[What codes would be appropriate?
IV was placed at 845a, Remicade infused from 1010a to 1215p, NS at 850a and IV D/C at 1315p?]

diagnosed w/rheuatoid arthritis. would this still be w/96413 & 96415?

Jan 22nd, 2010 - nmaguire   2,606 

Infusion

Payor policies regarding the use of 96413 and 96415 may vary. Alternatively, some may prefer use of CPT codes 96365 (IV infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour) and 96366 (IV infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour). (List separately in addition to code for primary procedure.) Contact payer for preference.

Jan 22nd, 2010 - ziaclarkson 30 

Infusion of Remicade

96413/96415 is used for ALL Payers on Remicade. I am at the largest private infusion center in the country and have been for over six years.



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