Forum - Questions & Answers

Jun 1st, 2011 - pgreen

CPT® 96416 vs S9330

Can someone please help with the below scenerio. Thanks in advance for any help with this.

Patients, typically, are seen at Medical Oncology, and then would come to us where we connect them to an infusion pump that contains chemotherapy and runs for a period of 23 to 46 hours continuously. When the infusion is completed, the patient returns to us and we disconnect the pump and deaccess the Mediport. Usually we are looking at services that go over a three day (46 hour) period. We are an infusion center.

For patients except Medicare can we bill:
Day 1: 96416-initiation of prolonged chemo infusion (service is in clinic)
J9190-fluorouracil (billed as home infusion)
S9330-chemo per diem (billed as home infusion)
Day 2: S9330-chemo per diem (billed as home infusion)
Day 3: S9330-chemo per diem (billed as home infusion)
99211-visit to disconnect pump and deaccess Mediport (service is in clinic)

I am not sure if we can bill the S9330 codes???



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