Is the cost for incurring the expense specific to the portable pump included in the reimbursement rate for 96416?
When establishing reimbursement rates for code 96416, the cost for incurring expense specific to the portable pump was not included. The reimbursement calculation for 96416 was prepared for a scenario where the pump had previously been implanted or otherwise provided to the patient.
This question was answered in our Coding Essentials for Infusion & Injection Therapy Services. For more hot topics relating to infusion services, please visit our store or call us at 1.800.252.1578, ext. 2.
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