tci Part B Insider - 2004 Issue 10

Chemotherapy: Don't Bill Level 1 Office Visits With Chemo

But you can bill higher level visits for unrelated conditionsIf a patient comes in just for chemotherapy, you'll receive a higher RVU for administration -- but you may not be able to bill separately for evaluation and management. According to the new Medicare physician fee schedule, Medicare won't pay a level one visit (CPT 99211 ) on the same day as chemotherapy administration or non-chemotherapy infusion any more -- even if the E/M service is "unrelated to the drug administration.""They added to the RVUs for the physician work for the [chemotherapy] drug administration codes. That's why you...

To read the full article, sign in and subscribe to tci Part B Insider.

Thank you for choosing Find-A-Code, please Sign In to remove ads.