AMA CPT® Assistant - 2005 Issue 2 (February)

Medicine (February 2005)

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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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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