tci Part B Insider - 2004 Issue 14

CHEMOTHERAPY: Bill One E/M Service Before 78804 And 79403

But don't bill separately for administration of infusionApart from a few hold-outs most of the carriers are already providing instructions for how to bill new CPT 78804 for using Zevalin or Bexxar multiple day tests of tumor localization or distribution of radiopharmaceutical agents. Luckily, a few carriers have already issued some helpful coding guidance on how to use 78804. Figuring out the appropriate biodistribution of the agents requires a comparison of isotope uptake in several organ systems between three scans taken over the seven days following administration, says Cigna Healthcare. Generally, therapeutic administration happens one to two weeks...

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