tci Outpatient Facility Coding Alert - 2012 Issue 2

Reader question: Stick With J Codes for Chemo Pump Day 2 Follow-Up

  Question: A patient came to our facility for chemotherapy (day 1). She has a 48-hour pump that she goes home with. When she comes back on day 2 to have the pump de-accessed, how do we bill for that day? An auditor said we should only bill J1642 and J7050 for pump removal because we didn’t administer any other drugs that day and that we couldn’t bill a port flush since we used the same needle from day 1. Is this correct? Ohio Subscriber Answer: Yes, you should only report J1642 (Injection, heparin sodium [heparin lock...

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