Forum - Questions & Answers

Nov 19th, 2010 - tls131 19 

Infusion codes

Can anyone help with when to report 96367? I have a claim with 96413, 96415, 96367 x 2. should this be 96413, 96415, 96366 x2

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Nov 19th, 2010 - jschmutz   323 

96365 and 96366

It should be 96365 for the first hour and 96366 for the second hour

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Nov 19th, 2010 -

96365 & 96366

Please have 59 modifier for 96366 whenever you have these codes together otherwise we'll denial stating bundled. Tnx.

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Nov 22nd, 2010 - jayceeal05 5 

Help with 96367

When coding infusions, my coder always uses 96413, 96415, and 96367 x 2...Medicaid only pays for one 96367 (max allowed)...we get paid every time!

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Feb 23rd, 2013 - Codedloaded 9 

re: Help with 96367

So Can these CPTs go with Reclast J3488??

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Feb 25th, 2013 - youngblood 278 

re: Help with 96367

It looks from the other codes you reported that other chemo was also given. 96367 is appropriate if the Reclast is an *additional, sequential* therapeutic infusion.

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