tci Part B Insider - 2004 Issue 10

Chemotherapy: Don't Bill Level 1 Office Visits With Chemo

But you can bill higher level visits for unrelated conditionsIf a patient comes in just for chemotherapy, you'll receive a higher RVU for administration -- but you may not be able to bill separately for evaluation and management. According to the new Medicare physician fee schedule, Medicare won't pay a level one visit (CPT 99211 ) on the same day as chemotherapy administration or non-chemotherapy infusion any more -- even if the E/M service is "unrelated to the drug administration.""They added to the RVUs for the physician work for the [chemotherapy] drug administration codes. That's why you...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.