Articles

Vitalware's experts and industry thought-leadership are often referenced in articles about the business of U.S. healthcare. Here is an informative selection of those industry news articles and blogs from leading publications and experts.

Ask a Rev Cycle Expert: Concurrent Chemotherapy Drug Infusions?

How would you report concurrent chemotherapy drug infusions?

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Ask a Rev Cycle Expert: Repeat Troponin Reporting?

We sometimes have a lab test that we repeat multiple times on the same date of service. For example, troponins are usually repeated several hours apart. For Current Procedural Terminology (CPT®) code 84484, what is the best modifier to use?

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Ask a Rev Cycle Expert: Injection Procedure for C9094 Sutimlimab-jome?

The drug ENJAYMO™ has been approved by the U.S. Federal Drug Administration (FDA) and assigned to Healthcare Common Procedure Coding System (HCPCS) C9094 Inj, sutimlimab-jome, 10 mg. The drug has been ordered by an oncologist for Cold Agglutinin Disease. What would be the appropriate administration code for the first hour of administration, Current Procedural Terminology (CPT®) code 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug or 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour?

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Ask a Rev Cycle Expert: MUE Question for CPT® Code 86255?

If a Current Procedural Terminology CPT® code has a Medically Unlikely Edit (MUE) of 5 but the test requires 9, can modifier 59 Distinct Procedural Service be added? For example, CPT® 86255 Fluorescent noninfectious agent antibody; screen, each antibody.

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Ask a Rev Cycle Expert: Leuprolide Acetate Administration?

Which is the most correct CPT® code for intramuscular (IM) injection of Lupron Depot® (J1950) at 3-month intervals for in vitro fertilization protocol? Would it be CPT 96372 for therapeutic IM injection or CPT 96402 for hormonal anti-neoplastic IM injection?

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Ask a Rev Cycle Expert: Code for Ketamine Infusion?

What would be the appropriate code(s) to use for billing related to a Ketamine Infusion for pain relief?

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