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Based on clinical documentation in the health record an established patient with a nonhealing wound of the left lower extremity returns from the Wound Care Center with an established plan of care f...

According to...

May a hospital bill for the facility-based evaluation and management services associated with a patient visit in the emergency department if a nurse or mid-level provider, but not a physician, prov...

Per informat...

Is a hospital facility allowed to bill for facility-based E/M services associated with a patient visit to the facility’s emergency department?

Yes, it is a...

A patient arrives at the exam area of a hospital-based outpatient cancer center and a licensed nurse observes that the patient is experiencing shortness of breath. 

The nurse performs an...

It would be ...

Our facility needs clarification on how to appropriately report external fetal monitoring which is often performed in the hospital outpatient setting (ED/ER). 

CPT codes 59050, Fetal...

It would not...

A patient is seen at our facility for concurrent chemotherapy administration. 888 mg of Leucovorin is administered intravenously for 2 hours. 142 mg of Oxaliplatin
is administered via IV piggyba...

Leucovorin i...

We are trying to assign HCPCS codes for supplies used in spinal fusion procedures. There are reamers and pins used which are not reusable and must be replaced with each procedure. What would be the...

While there ...

In CY 2005, hospitals were instructed to bill CPT codes 90781, 96412, and 96423 in 8 unit increments for additional hours of infusion on a separate line on the bill. Should we continue to do this i...

 In CY ...

Are hospitals allowed to bill more than one “initial hour” drug administration infusion code under OPPS for CY 2006?

The CY 2006 ...

HCPCS code C8952 (Therapeutic, prophylactic or diagnostic injection; intravenous push) is included in Transmittal 785 as being billable for each different drug/ substance. How should hospitals bill...

HCPCS code C...