General Question for the Week of June 7, 2021
What is the difference between white bagging and brown bagging regarding patient supplied drugs?
What is the difference between white bagging and brown bagging regarding patient supplied drugs?
If a patient has rheumatoid arthritis and comes in for a methotrexate injection, do we use the chemotherapy injection code?
For billing chemotherapy infusions, what determines the selection of the primary CPT code?
What are the documentation requirements to bill for hydration?
I’ve heard that MACs will pause claims soon is this true?
How are incidental services packaged under the OPPS?
From a claims perspective, what are some red flags when reviewing infusion and injection claims?
I’m being told I need a modifier if I bill 79005 and 78014 together. Do you know which modifier and why?
If a patient has an IV contrast of Isovue 370 for a CT Scan of the Abdomen and oral contrast of 30 ml Gastrografin, do you need to report codes in addition to the CT code? I am being asked about Q9967. This is for hospital billing.
For CT exams, do you know if we have to specify the type and volume of contrast for billing, or is it just the statement that iodinate contrast was administered enough? I was unable to find any type of reference source as it should be documented or stating iodinate contrast is enough. Could you direct me to some type of reference source to share with my providers?
For billing chemotherapy infusions, what determines the selection of the primary code?
Did Medicare ever fix the NCCI edit for A9570 with 78802?
CPT® copyright 2025 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
BLOOM INTO SAVINGS! Get 25% OFF during our spring sale through March 27. Use code SPRING26 at checkout to claim this offer.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24