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FAQs From the Coding and Reimbursement Hotline: Port Flush, 59 and 25 Modifiers, Anticoagulation, and Management

ASCO's Coding and Reimbursement Hotline receives calls that relate to a wide variety of issues and topics. Some recent questions that have been answered by the hotline are provided below.

Can we charge an office visit such as 99213 and also 96523 for the flush procedure?

No. Medicare will not pay separately for a port flush code (96523) when it is performed on the same day as any other physician fee schedule service. The port flush code, however, is separately payable if it is the only service billed that day. There are National Correct Coding Initiative edits in place that . . . [Click for More]