Compliance Question of the Week – General

I’m coding for a patient who underwent CAR-T therapy, and I’m a bit confused about how to report the different steps. I understand that 0537T is for collection and handling, and 0540T is for administration, but I want to clarify a few things. Can we report 0537T more than once per day? Also, if the hospital is facilitating the process but not actually performing the collection or preparation, should the hospital still report any of these codes, or are they strictly for the specialty lab or manufacturer?

When coding for intravenous infusions that begin outside the observation unit and continue upon the patient’s arrival, what specific documentation elements must be present to ensure compliance and avoid audit risks?

Do you have any more tips for reporting the JZ modifier?

When a stop time has not been recorded for the infusion, can an IVP be coded?

Can we report 96523 for a routine port flush?

Do have any examples or tips for reporting 96365 vs 96366 in 2025?

Can we report 96376 with 96374?

When a stop time has not been recorded for the infusion, can an IVP be coded?

What documentation practices does the ISMP recommend for specifying the mode and time interval of administration for higher-risk drugs?

Do you have any tips regarding medical necessity and secondary intent?

When calculating the time for hourly increments of infusion, what specific periods should be excluded from the time interval, and why are pre- and post-infusion services not separately billable?

What distinguishes the administration of fluids reported with codes 96360 and 96361 from therapeutic, diagnostic, and prophylactic drug administration, and what level of patient risk is typically associated with hydration therapy?