Question

1.) Infusion of 1000cc of normal saline solution.

2.) Enteral nutrition infusion pump, with alarm.

3.) Brachytherapy source, nonstranded, nonhigh dose rate iridium-192, per source.

4.) injection of bevacizumab, 10mg

5.) Half-length bedside rails.

6.) Electric heat pad, standard.

7.) Screening Papanicolaou smear, cervical or vaginal, up to 3 smears by technician under physician supervision.

8.) Shoe lift, elevation, heel, tapered to metatarsals, per inch.

9.) Contact layer, sterile, 16 inches square or less, each dressing.

10.) Administration of hepatitis B vaccine.

Answer 1

Ans) 1) The proper codes for the procedure are as follows: 96360: “Intravenous infusion, hydration; initial, 31 minutes to 1 hour” J7030: “Infusion, normal saline solution, 1000 cc” 96375: “Each additional sequential intravenous push of a new substance/drug.

2) B9000 (ENTERAL NUTRITION INFUSION PUMP - WITHOUT ALARM) and B9002 (ENTERAL NUTRITION INFUSION PUMP - WITH ALARM) are separately billable, specific HCPCS codes to be used for these items.

3) HCPCS Code C1719 for Brachytherapy source , non-stranded, non-high dose rate iridium-192 , per source as maintained by CMS falls

4) For Avastin, use HCPCS code J9035(Injection, Bevacizumab,10 mg) and bill 1 unit.

5)  Code E0305. Bed side rails, half length

6) E0210 is a valid 2020 HCPCS code for Electric heat pad, standard or just “Electric heat pad standard” for short, used in Used durable medical equipment (DME).