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96420

Date: Nov 18, 2010

Question:

Dr. Z, Following is the most recent answer to a question on code 96420. "We do not use code 96420 for the chemo aspect of an infusion or embolization with chemotherapeutic agents. This is only billable by physicians in the non-facility setting, and most chemoembolizations are not performed outside the hospital. We would code the diagnostic angiography, catheter placements, embolization and follow-up if documented. Dr.z" Also in the reference book you indicate to not code 96420. My question is does this guideline which was also indicated in the Clinicial Examples in Radiology Summer 2008 only pertain to profee billing? When I check addendum B for OPPS code 96420 continues to be assigned status indicator "s" and remains with payment. So can OP facilities still bill this code for chemoembolizations on a UB04? Thanks.

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