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| 7/21/2020 @ 3:09:00 PM
Post 1 of 4
Contributor: Cassie Beesley, Springfield Clinic - Hillsboro East
Is a port flush CPT 96523 if performed by a billable provider able to be billed for Medicare with a 521 Rev Code if that is all that was done during the visit? I didn't see 96523 on the stand alone list.
7/21/2020 @ 4:08:00 PM
Post 2 of 4
Contributor: Patty Harper, InQuiseek Consulting
I think the question is whether or not that service requires the skill level of the provider or if it could be done by nursing staff as an incident-to another RHC encounter. The QVL is not an all-inclusive list, but the service still has to require the skill level of the provider and the clinical documentation should support the service.
Patty Harper, RHIA, CHTS-IM, CHTS-PW, CHCR Healthcare Consultant/Principal 318-243-2687 (Cell) 866-855-0683 (Fax) 940 Ratcliff Street Shreveport, LA 71104 The information contained in this transmission may contain privileged and/or confidential information, including patient information protected by federal and state privacy laws. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. 11/3/2023 @ 12:09:00 PM
Post 3 of 4
Contributor: Brenda Smith, Story Medical Clinic - Nevada
Please clarify, can a port flush be completed and billed for with just a nurse visit or can it only be done if it is part of an office visit?
11/3/2023 @ 1:50:00 PM
Post 4 of 4
Contributor: Patty Harper, InQuiseek Consulting
There are two questions here. The first one is can it be done. The answer
is yes if the nurse is competent for the procedure and it within the scope of practice. The second question is if it can be billed to Medicare. The answer is no if it is done as a nurse visit. It is a covered Medicare benefit but is not a standalone billable visit. It can be done but would not be separately billable. It is incident-to another qualifying visit. It could be rolled into another qualifying visit within 30 days. It is important to understand that the cost of doing a nursing visit—time, supplies, etc. are included in allowable costs used for the AIR calculation. Sometimes a nurse visit is the appropriate utilization even if it is not a billable face to face encounter. On Fri, Nov 3, 2023 at 11:39 AM NARHC News wrote: > |
