tci Medicare Compliance & Reimbursement - 2005 Issue 21

PHARMACEUTICALS: Rules For Multi-Drug Concurrent Infusion Vary By Area

The answer is hiding in carriers' local coverage decisions.The Centers for Medicare and Medicaid Services is passing the buck on so many drug administration-coding issues that getting familiar with local carrier policy is becoming necessary. In a new set of Frequently Asked Questions on drug administration codes, CMS says it's up to the Part B carriers to decide such tricky questions as: Can providers bill for a concurrent infusion (G0350) if they provide two drugs in the same bag to a patient? CMS says it's reviewing this issue, but in the meantime the carriers can come up...

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