February 2005 page 15a
Coding Consultation:Questions and Answers
Medicine, 96530, 99211 (Q&A)
Question
Would it be appropriate to report
code 96530 for the refilling and maintenance of
an implantable pump or reservoir for a heparin
flush or does heparin flush fall within "maintenance
of the catheter or the port"?
AMA Comment
A heparin flush "is designed to
maintain patency of the catheter/port" rather
than "maintenance and filling of the reservoir"
(which has additional associated costs). It would
not be appropriate to code 96530 for a heparin
flush alone, but if the heparin flush is performed
in a physician's...
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