tci Part B Insider - 2007 Issue 34

Part B Coding Coach: Nail Down The 16-Minute Infusion Rule For Bulletproof Claims

Here's why time matters on multi-substance infusion sessionsWhen your physician performs an infusion involving multiple substances, you need to identify the type of infusion on the claim, or you could risk denials. You also need to know which infusion to list as primary, or the claim could get bounced right back to you. Initial Codes Represent -Main Reason- For Session On multiple-substance infusion claims, you should report the initial infusion with 90765 (Intravenous infusion, for therapy, prophylaxis, or diagnosis [specify substance or drug]; initial, up to 1 hour) and +90766 (- each additional hour [list separately in addition to...

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