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Infusion codes
Can anyone help with when to report 96367? I have a claim with 96413, 96415, 96367 x 2. should this be 96413, 96415, 96366 x2
96365 and 96366
It should be 96365 for the first hour and 96366 for the second hour
96365 & 96366
Please have 59 modifier for 96366 whenever you have these codes together otherwise we'll denial stating bundled. Tnx.
Help with 96367
When coding infusions, my coder always uses 96413, 96415, and 96367 x 2...Medicaid only pays for one 96367 (max allowed)...we get paid every time!
re: Help with 96367
It looks from the other codes you reported that other chemo was also given. 96367 is appropriate if the Reclast is an *additional, sequential* therapeutic infusion.