AMA CPT® Assistant - 2006 Issue 9 (September)

Medicine: Hydration, Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy) (September 2006)

September 2006 page 14b Hydration, Therapeutic, Prophylactic, & Diag Inj and Inf (Excludes Chemo) 90765 (Q&A) Question An insurance company has refused to pay for an Evaluation and Management (E/M) Office or Other Outpatient Services code (eg, 99214) and procedure code 90765, Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour, when they are both reported on the same date of service. They state the office visit is inclusive to the procedure. What is the appropriate way to report these services when the two (ie, the E/M visit and the intravenous...

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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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