Question:
What are the impacted codes for the RAC audit involving therapeutic injections and infusions?
Answer:
For the “Therapeutic, Prophylactic, and Diagnostic Injections and Infusions: Documentation Requirements” audit, the codes targeted will be 96365 and 96366.
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
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