Updated XLS 2021. • M0243 Intravenous infusion, Casirivimab and Imdevimab includes infusion and post administration monitoring. This Place of Service codes is a 2 digit numeric codes which is used on the HCFA 1500 claim form while billing the medical claims to the health care insurance companies, denoting the place where the healthcare services was … In 2020, the nonfacility allowance for Medicare participating physicians (unadjusted geographically) is … CMS issued the 2021 Medicare Home Health Final Rule on October 29, 2020. Further, OPPS lists eleven criteria that must be met for facility billing guidelines. If you have an order for an infusion and the start time but no stop time is documented, then you can assume it was an infusion of 15 minutes or less. G. Consequently, infusion time is calculated from the time the administration commences (i.e. 3. In 2007 CMS changed the methodology, published in CMS Transmittal 1139CP, in anticipation of clarifying the coding and billing of these services. The information available here is not intended to be definitive or exhaustive and is not intended to replace the guidance of a qualified professional advisor. Horizon NJ Health - Billing Guide January 2019 Retired 06/07/2020 : A56629 Billing and Coding: Iron Sucrose, Iron Dextran and Ferumoxytol, (Intravenous Iron Therapy) – J1439, J1750, J1756, Q0138, Q0139 . California Children's Services (CCS) Program Billing Example: CMS-1500 (cal child bil cms) (Revision Date Sep 16, 2020) | (601KB) CCS Program Billing Guidelines (cal child bil guide) (Revision Date May 14, 2021) | (111KB) is totally irrelevant. 2021 ICD-10-CM Guidelines. CMS makes no changes. For patients with moderate to severe polyarticular juvenile idiopathic arthritis (pJIA), ORENCIA may be administered as an intravenous infusion (6 years of age and older) or a subcutaneous injection (2 years of age … The 7mg dose is billed using one billing unit that represents 10mg on a single line item. Infusion pumps & supplies. Medicare Part B (Medical Insurance) covers infusion pumps (and some medicines used in infusion pumps) if considered reasonable and necessary. Promulgated XLS 1/1/2020. CMS requires each hospital to establish its own facility billing guidelines. CMS-2020-0129 Docket Name: ... 87635, 87426, 86328, and 86769 and HCPCS codes U0001 through U0004. Assistive Care Services Fee Schedule. References to CPT® or other sources are for definitional purposes This section also contains billing instructions, as well as pertinent procedure codes and fee schedules. CMS requirements for billing critical care as part of a trauma response are: Pre-notification by healthcare providers Current Procedural Terminology (CPT®) defines hydration by two codes: 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour. Care plan oversight (G0181-G0182). NABP’s Home Infusion Therapy Pharmacy Accreditation is designed to meet a new requirement by CMS for suppliers billing home infusion therapy services. Item 24G: Specify the billing units. Providers billing with these codes will not be limited by provider type. These codes again were replaced Jan. 1, 2009 by 96360 – 96549, including codes 96360 – 96361 for IV hydration. CMS Alert! 4. Last Reviewed Date: 9/1/2020 Effective Date: 9/1/2020 Default Pricing DEFAULT PRICING Policy Definitions Authorization Request Billing/Coding Guidelines Reimbursement Guidelines Notifications/Prior References History The new Medicare home Infusion services benefit is provided in a Medicare beneficiary’s home. Made the decision to perform the procedure on that day. Drug administration CPT ® codes 2†. billing for port flush Question: How do you bill for flushing of a port when this is the only service during the patient encounter? The Center for Medicare & Medicaid Innovation (CMS Innovation Center) is developing new payment and delivery models designed to improve the effectiveness and efficiency of specialty care. The beneficiary must be currently under the care of a physician, nurse practitioner or physician’s assistant. Follow CMS billing guidelines. February 2, 2021 – Revised June 8, 2021 COVID-19 Vaccine and Monoclonal Antibody Infusion – Part A / HH&H Billing Guidance. ... • Medicare Advantage: From Feb. 4, 2020, through March 31, 2021, UnitedHealthcare waived cost sharing ... and through 2021. Milliman Care Guidelines (MCG)) and the CMS Provider Reimbursement Manual. You should be sure to bill 10 units of J1745 on the claim form when indicating that a single 100-mg vial … Previously, the demonstration had been scheduled to end December 31, 2020. Payer coding requirements may vary or change over time, so it is important to regularly check with each payer as to payer-specific requirements. Do not report 96360 if performed as a concurrent infusion service. The billing unit for a drug is equal to 10mg of the drug in a SDV. Beginning July 2019, claims may deny due to common billing issues. 157, Issued: 06-08-12, Effective: 07-01-12, Implementation: 07-02-12) Infusion billing is mainly about billing for the time a patient is being infused. Report the NDC number in the 11-digit format. CMS proposes Medicare enrollment policies for qualified home infusion therapy suppliers. For more information, visit the CMS Monoclonal Antibody COVID-19 Infusion page. the infusion … Additionally, any other appropriate items necessary for claims submission should be used, such as condition codes. Saw and evaluated the patient for the procedure. (CCI), Medicare (CMS) guidelines, and ClaimCheck ® These reference guidelines were developed for ... Professional Pathology Billing Guidelines . Inpatient . 2. –Providing complete & accurate documentation in the patient record of all infusion times, mode of administration and line flushes. 59338-775-01 FERAHEME 510 mg/17 mL, 1 vial. CMS finalizes CY 2020 PDGM implementation. 2020 Final 1$ Rates 21 Final $ Rates2 Hydration 96360 IV infusion, hydration, 31 minutes to 1 hour 34.65 36.29 96361 IV infusion, hydration; each additional hour 13.71 13.96 Therapeutic, Prophylactic, and Diagnostic Infusions infusion 96365 IV infusion, for therapy/ prophylactic/ diagnostic, initial, up to … Answer: Previously, per an article from the April/May 1997 Medicare Bulletin, we advised providers to bill for a port flush using CPT code 99211. Promulgated Fee Schedule 1/1/2020. UB-04 and NEW CMS 1500 Billing Medicaid Secondary to a Medicare HMO/Advantage Plan: ASC-SPU Medicare HMO Billing Instructions. COVID-19 Treatment Services The clinical payment and coding guidelines are not intended to provide billing or … Quality Reporting Program " (85 FR 27553) (May 2020 COVID-19 IFC). FERAHEME® (ferumoxytol injection) Billing and Coding Information for Outpatient Services* FERAHEME product and administration codes HCPCS1 Injection, ferumoxytol, for treatment of IDA, 1 mg Q0138 non-ESRD use OR Q0139 ESRD on dialysis Drug administration CPT® codes2† 96365 Intravenous infusion, for therapy, prophylaxis, or HCPCS 1. Care plan oversight (G0181-G0182). Place of Service Codes is also known as POS codes in Medical Billing and are maintained by CMS –Centers for Medicare and Medicaid Services). CMS defines which drugs are approved for home infusion. Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. J2916 Injection, Sodium Ferric Gluconate Complex in Sucrose Injection, 12.5 mg (Ferrlecit®. Among those specialty models is the Oncology Care Model, which aims to provide higher quality, more highly coordinated oncology care at the same or lower cost to Medicare. National Drug Codes (NDC) 3‡. For roster billing and centralized billing, reference the Medicare billing for COVID-19 vaccine shot administration page. CMS Evaluation and Management Services Guide Critical Care Services: CPT Codes 99291-99292; Definition of New Patient for Billing Evaluation and Management Services; Evaluation & Management Documentation Training Tool Evaluation and Management Frequently Asked Questions; Evaluation and Management Services: 1995 Documentation Guidelines The patient is placed in observation from 4:00PM on 10/01/2020 and remained until discharge at 6:00PM on 10/02/2020 for a total of 26 hours of observation time. Make sure the NDC number, units, and unit of measurement are listed on the gray line above the HCPCS code if you are filing using a CMS-1500 claim form. General Provider Information (6/21); Appendices. Documentation, medical necessity, and code assignment are very important. Every effort has been made to ensure this guide’s accuracy. Additional sources are used and can be provided upon request. A necessary presence in home infusion treatments, nurses provide training and support for infusion equipment, both on location and remotely, as well as caring for and maintaining the vascular site for patients. Explain what you are trying to do with trauma billing and go over critical care rules. –Realizing that medical record documentation will determine which 1 May 2020 Coding Guidelines for Certain Respiratory Care Services – May 2020 (updates in blue) Overview As a service to our members, we developed coding guidance for respiratory care services we are asked about most frequently. The rules and guidelines for coding drug administration services Medicare/Medi-Cal Crossovers Because Medicare pays a … Retired 06/07/2020 : ... (CMS), or other coding guidelines. Billing and Coding Guidelines . A payment rate is set for each DRG and the hospital’s Medicare 99601. CMS is also increasing its payment allowances for TCM. of the various types of infusion therapy and services inherent to them. CMS spends considerable time reviewing the statutory and regulatory history of this benefit along with policies and payments finalized in previous rules. Therefore, ensure the actual dose administered to the patient is reflected in the billing units (see pages 10 and 12 for instructions on filling out claim forms) Because observation care is considered an outpatient service, the new rule included important changes to observation billing. We provide ... Review history of CMS coverage for home PN and EN under the ... 2020 •Billing and Coding articles •Enteral Nutrition - Correct Coding and Billing • Field hospital billing guidelines • General reimbursement information ... described by CMS -2020 01 R. U0005 Infectious agent detection by nucleic acid (DNA or RNA); Severe Acute Respiratory Syndrome ... M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring Effective with date of service April 6, 2020, the NC Medicaid and NC Health Choice programs cover eptinezumab-jjmr injection, for intravenous use (Vyepti™) for use in the Physician Administered Drug Program (PADP) when billed with HCPCS code J3590 - Unclassified biologics. CMS is also increasing its payment allowances for TCM. Appendix A - Colorado Department of Health Care Policy and Financing (5/17); Appendix B - Colorado Medical Assistance Program Fiscal Agent (5/17); Appendix C - Prior Authorization and Review Agencies (6/18); Appendix D - Programs, Services … ... under CMS guidelines this drug falls under the Chemotherapy Hierarchy for administration: These are covered as durable medical equipment (DME) that your doctor prescribes for use in your home. Medication that is given for an immediate effect (typically within 3-5 minutes) is an injection. (see APC FAQ) Facility billing guidelines should be designed to reasonably relate the intensity of hospital services to the different levels of effort represented by the codes. Which billing manual should I use based on my provider type? –Documenting and billing according to AMA CPT coding hierarchy. the CY 2020 HH PPS final rule with comment period (84 FR 60618), the Centers for Medicare & Medicaid Services (CMS) stated that this means that “home infusion drugs” are defined as parenteral drugs and biologicals administered intravenously, or subcutaneously for an or MDM-based billing. Home Infusion Therapy Services This final rule summarizes the home infusion therapy policies codified in the CY 2020 HH PPS final rule with comment period (84 FR 60615), as required by section 1834(u) of the General Provider Information. Palmetto GBA has received inquiries related to the billing and documentation of infusions, injections and hydration fluids. The presence of the ICD-10-PCS codes for the administration of convalescent plasma (XW13325, XW14325) and ICD-10-CM code U07.1, COVID-19, will trigger the NCTAP for discharges on or after November 2, 2020. requirements, as stated in the CMS Claims Manual, which can be accessed at EOU IQX /CPWCNU +1/ NKUV CUR. "U0004" (effective 4/14/2020) - 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCov (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R. FFS fee = $100 For purposes of facility coding, an infusion is required to be more than … DRGs are classifications of diagnoses and procedures in which patients demonstrate similar resource consumption and length-of-stay patterns. Updated Fee Schedule 2021. Chapter II of the National Correct Coding Initiative Policy Manual for Medicare Services goes over the CMS Anesthesia Guidelines for 2021. (Section 1861 (iii) (3) (A)). Health Homes Serving Adults and Children. Effective with date of service Aug. 6, 2020, the Medicaid and NC Health Choice programs cover belantamab mafodotin-blmf for injection, for intravenous use (Blenrep™) for use in the Physician Administered Drug Program (PADP) when billed with HCPCS code J9999 - Not otherwise classified, antineoplastic drugs. A Review of Recent COVID-19 Coding & Billing Guidelines The information below will assist Medicare Part A, home health, and hospice providers with proper billing of single claims for COVID-19 vaccines and monoclonal antibody infusions. The single line item of 1 unit is processed for payment of the total 10mg of drug administered and discarded. [2] Effective with date of service April 6, 2020, the NC Medicaid and NC Health Choice programs cover eptinezumab-jjmr injection, for intravenous use (Vyepti™) for use in the Physician Administered Drug Program (PADP) when billed with HCPCS code J3590 - Unclassified biologics. Specify the correct number of billing units on the CMS-1500 Claim Form or on the UB-04/CMS-1450 Claim Form. Last November, the Centers for Medicare & Medicaid Services (CMS) published its 2016 final rule for the Outpatient Prospective Payment System (OPPS). To bill 100 mg of RUXIENCE, enter 10 billing units. Reviewed/evaluated clinical and lab data relevant to the treatment of the patient that day. For example, 1 billing unit = 10 mg of rituximab-pvvr biosimilar (RUXIENCE) for HCPCS code Q5119. However, several key aspects differ, including: The number of code levels – CMS proposes to retain 4 levels of E/M codes for new patient (99202 – 99205) and 5 levels of codes for established patients (99211 – 99215). Educate billers on critical care requirements. Section 4: Home Infusion Therapy (HIT) Provisions. Use CPT code 99001 or 99211, where appropriate. For physician offices using the CMS 1500 For hospitals/institutions using the CMS 1450 PROLIA ® CODING AND BILLING INFORMATION GUIDE The information provided in this guide is of a general nature and for informational purposes ... ICD-10-CM official guidelines for … This applies to services that occurred as of February 4, 2020. 5. independent medical judgment in providing care to patients. F. The definition of infusion time is inherent and presented in the guidelines for these codes. Billing for Infusion Administration ... administration to Original Medicare for all patients enrolled in Medicare Advantage in 2020 and 2021. If the patient is enrolled in a Medicare Advantage plan, submit your COVID-19 vaccine and mAb infusion claims to Original Medicare for all patients enrolled in Medicare Advantage in 2020 … Gaining buy-in from compliance is key to making headway with the central business office. Confidential • Do not distribute • ©Copyright Vitalware, LLC. ... of care, like a hospital, where Medicare is making a separate payment to an entity in addition to the payment to the billing physician or practitioner. Home Infusion Therapy and Parenteral Nutrition Program Billing Guide . Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. … The key changes affecting home health (HH) agencies are summarized below. We will employ the reimbursement rates established by CMS and our state regulators in accordance with provider contract terms for COVID-19 screening service payments. January 1, 2020 (Blue Cross and Blue Shield of Texas Only) Description . Do not report intravenous infusion for hydration … The following FAQ content reflects 2018 Outpatient Prospective Payment System (OPPS) observation coding information. The PCP must authorize all referrals to home infusion therapy providers within the independently contracted HMO network. This monthly publication is mailed to active providers, and informs providers of up-to-date changes in the Medicaid Program. Venofer® (iron sucrose) injection, USP has been assigned the following drug-specific HCPCS code (also known as a J-code): J1756 Injection, Iron Sucrose, 1 mg - Drug code Venofer. Document Details. Services leading up to the infusion and following the infusion have been included in the infusion code services and are not reported separately. Billing and Coding Guidelines for Drugs and Biologics (Non-chemotherapy) L 34741 Medicare Excerpts: CMS 100-02, Medicare Benefit Policy Manual, Chapter 15- Section 50 - Drugs and Biologicals: 50.2 - Determining Self-Administration of Drug or Biological (Rev. A 7mg dose is administered & 3mg of the remaining drug is discarded. 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour. CMS noted in the final rule that it is "working to ensure affected 2019 claims for clinic visits are paid consistent with the court's order," but it will still complete the second phase of the payment reduction for off-campus HOPD clinic visits in 2020. 9/01/2020 – New Policy approved, effective 10/1/2020. When billing infusion administration time, we are only ever referring to … National Drug Codes (NDC) 4 Issued by the FDA Note:Payers require the submission of the 11-digit NDC on healthcare claim forms.Please use the 11-digit codes shown here. If the drug is not supplied as a donation or free of charge, then the … (Section 1861 (iii) (3) (A)). 4. Ambulatory Surgical Center Services Fee Schedule. Section 4: Home Infusion Therapy (HIT) Provisions. The new Medicare home Infusion services benefit is provided in a Medicare beneficiary’s home. When these nursing services weren’t covered by Medicare, HIT providers had to account for these expenses as part of the overhead of being in the home infusion … February 2, 2021 – Revised June 8, 2021 COVID-19 Vaccine and Monoclonal Antibody Infusion – Part A / HH&H Billing Guidance. On Sunday, December 27th, 2020 the President signed legislation that extended the Medicare IVIG Demonstration through December 31, 2023. –Understanding the coding guidelines for injections, IV push, IV infusion. CMS defines which drugs are approved for home infusion. Billing Information. Infusion-administration of intravenous fluids and/or drugs over a period of time for diagnostic or therapeutic purposes; An infusion is a medication or solution that is administered via saline or other solutions and given over a period of time (usually 30 minutes or more). apheresis.org) 1. It is important to note that this code represents 1/10th of a vial. Is it required to bill the infusion CPT with the actual time it was administered. Medicare Beneficiaries Expanded Telehealth Benefits During COVID-19 Outbreak. Effective 2006, CPT code 96523 should be used instead of billing 99211. delivered by infusion (hanging a bag with fluids). This applies to services that occurred as of February 4, 2020. Surgical Treatment of Sinus Disease . Asymptomatic Individuals (New 04/26/2021) Note: Per the "incident to" guidelines explained above, and in the CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Sections 50 and 50.3, providers are not allowed to instruct their patients to purchase the drug themselves and then bring the drug to the provider's office for administration. We will employ the reimbursement rates established by CMS and our state regulators in accordance with provider contract terms for COVID-19 screening service payments. Each 1 mg of Venofer is equivalent to one (1) service unit. Note: Per the "incident to" guidelines explained above, and in the CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Sections 50 and 50.3, providers are not allowed to instruct their patients to purchase the drug themselves and then bring the drug to the provider's office for administration. To reduce the amount of recommended billing guidelines and codes will facilitate proper payment and help avoid errors and ... posted by CMS on 4/7/2020 which summarizes recent changes: ... CMS and CDC guidelines. The CPT Manual states that an infusion of 15 minutes or less must be reported as an IV push injection. The National Home Infusion Association is a trade association and the leader in home and specialty infusion. We intend this list of billing codes to be illustrative, however, not exhaustive. CMS finalized the 2020 OPPS Proposed Rule without modification in the 2020 Outpatient Prospective Payment System Final Rule (2020 OPPS Final Rule) on November 1, 2019 and published it on November 12, 2019, to take effect January 1, 2020. CMS has estimated the provisions of the final rule will increase HH payments by an overall $390 million or 1.9 percent for calendar-year (CY) 2021. The purpose of this document is to define and clarify home infusion billing and documentation.Health care providers are expected to exercise . The information below will assist Medicare Part A, home health, and hospice providers with proper billing of single claims for COVID-19 vaccines and monoclonal antibody infusions. For this service, significant code changes and corresponding coding and billing guidelines were put into place effective Jan. 1, 2006. In an effort to help coders assign injection and infusion codes and clarify coding requirements, CMS moved the infusion and injection codes to the medicine section of the CPT manual. • Infusion services are coded based on the length of the infusion which is a time based service • The Start and Stop times of each medication administration must be accurately recorded, as this determines the correct CPT code assignment • The first hour of infusion is weighted heavier than subsequent hours to include preparation Payment Rates. As an eg: Patient visited doctor at 11.00 am and infusion of drug A started at 11.30 am – 12.30 pm.Another drug B was infused from 1.00 pm – 1.30 pm. Effective Date. Part 2 – Durable Medical Equipment (DME): Infusion Equipment Page updated: August 2020 Rental Billing Medi-Cal reimbursement of code E0781 (as a rental) is at a daily rate and must be billed with modifier RR. 3/14/2019 4 7 Infusion Confusion April 2019 8 HYDRATION CPT® Codes 96360‐96361 • Includes pre‐packaged fluids, with or without electrolytes • Example: D5W, normal saline, D5‐1/2 normal saline + 30mEq KCl • Hydration must infuse for at least 31 minutes to bill for hydration, otherwise it is not reportable • Not be reported when hydration is running concurrently with drug infusions Providers billing with these codes will not be limited by provider type. Source: CPT Assistant September 2007 23 For patients with moderate to severe polyarticular juvenile idiopathic arthritis (pJIA), ORENCIA may be administered as an intravenous infusion (6 years of age and older) or a subcutaneous injection (2 years of age and older). The hospital, physician and health care professional, to appropriately account for services rendered and to ensure timely processing of claims, must adhere to all billing requirements. Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure) These codes are not all-inclusive; appropriate codes can vary by patient, setting of care and payer. CMS previously finalized paying a single flat fee for E/M levels 2-4 and retaining Home infusion/specialty drug administration, per visit (up to 2 hours) 99602. We’ve provided the CMS Anesthesia Guidelines for 2021 below – From the CMS.gov website –. While home infusion suppliers are wary of the final rule, home health stakeholders are applauding CMS’ fix for the implementation of a new Medicare payment model for home health providers. CMS-1744-IFC RIN: 0938-AU31 Document Number: 2020-06990. Under the Coronavirus Preparedness and Response Supplemental Appropriations Act and Section 1135 waiver authority, the Centers for Medicare & Medicaid Services (CMS) Current Health Home Rate Codes – Effective on/after July 2020 (PDF) ; Medicaid Managed Care Plan Claim Denials for Health Home Services – October 2019 (PDF) ; Medicaid Managed Care Plan Billing and Payment Protocol for Health Home Services – Effective: July 1, 2018, Revised: March 2019 (PDF); Billing and Documentation Guidance for … Acute, inpatient care is reimbursed under a diagnosis-related groups (DRGs) system. Infusion time is calculated from the time the administration commences (i.e., the infusion starts dripping) to when it ends (i.e., the infusion stops dripping). Medication or solution that is provided through saline or other solutions given over a period of time is an infusion. All rights reserved. *ASFA Guidelines for Documentation of Therapeutic Apheresis Procedures in the Medical Record by Apheresis Physicians (www. In other words, a minimum time duration of 31 minutes of hydration infusion is required to report the service. Click on the link to the Department of Health's Medicaid Update website . Page 3 of 13 ICN MLN901705 March 2020. This goes into full effect in January 2021. Report one line item with revenue code 0762, HCPCS code G0378, line item date of service 10/01/2020 and 26 units. NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, … The beneficiary must be currently under the care of a physician, nurse practitioner or physician’s assistant. COVID-19 Treatment Services If an actual or apparent conflict between this document and an agency rule arises, the agency rules apply. Health Details: ICD-10-CM Official Guidelines for Coding and Reporting FY 2021 – UPDATED January 1, 2021 (October 1, 2020 - September 30, 2021) The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health 2021 cms guidelines When filing claims for home infusion medications. The total time the patient is physically in the office, infusion chair, bathroom, etc. Infusion Codes - Hydration 96360© IV infusion therapy, 1 hour 96361© IV infusion, additional hour J7030 Infusion, normal saline solution 1,000 cc J7040 Infusion, normal saline solution, sterile, 50 ml J7042 5% dextrose/normal saline 500 ml J7050 Infusion, normal saline solution 250 cc J7060 5% dextrose/water 500 ml Injection, ferumoxytol, for treatment of IDA, 1 mg Q0138 non-ESRD use OR Q0139 ESRD on dialysis. Infusion Centers, 2020 Edition CMS Expands Telehealth Services in Response to COVID-19 Guidelines In response to the ongoing life changing events due to COVID-19 and the need for social distancing, CMS released some adjustments to expand the telehealth guidelines on March 17, 2020. • The attendee will have a working understanding of the infusion therapy code hierarchy per CPT and CMS for Facility • Documentation of Infusions for Compliance will be addressed and a Form provided • Federal Guidelines for … Dosing for PADCEV is weight-based.

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