tci Part B Insider - 2004 Issue 16

CMS Clarifies Chemotherapy, E/M Billing

Billing for chemotherapy and drug infusions just became a bit simpler. In Transmittal 147, issued April 24, the Centers for Medicare & Medicaid Services explains that it'll allow carriers to pay for chemotherapy administration code 96408 more than once per day. And it'll pay for 96408 for each drug administered. Also, CMS has established work relative value units (RVUs) for chemotherapy administration codes 96400, 96408 to 96425, 96520 and 96530, plus nonchemotherapy drug infusion services 90780 to 90781 and drug injection codes 90782 to 90788. These codes previously lacked work RVUs.Each of these codes will have work...

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