Office visit and infusion on the same day

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Posts: 59
Joined: Wed Mar 13, 2013 9:04 am

Thu Feb 16, 2017 9:38 am

Good morning,

Could someone provide examples that would support a separately identifiable office visit when a patient presents for a routine Belatacept infusion? The scenario is patients are receiving monthly routine maintenance Belatacept infusions as a part of post transplant treatment and the providers state that they follow the patients for multiple conditions and only see the patient every 2 - 3 months on the same day as an infusion. There are times when the patients conditions are noted as stable w/ no issues and in this instance there was a denial of the E/M stating that it is a part of the infusion administration service. Please site any sources available.

Thank you.
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