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Always review the infusion log before coding any chemotherapy visit Confirm the drug is a qualified chemotherapy agent before using 96413 Calculate each drugs infusion time separately, never combine times Compare start and stop times to determine if infusions were concurrent or sequential Add 96411 for any push injections given during the same visit Check that 96413 appears only once per claim before submitting Apply modifier JW for Medicare claims when single-use vial drug is partially discarded Run an internal audit of chemotherapy claims at least once every three months How Outsourced Medical Billing Companies Help With CPT Code 96413 Chemotherapy billing is not something that can be handled casually

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Stathopoulos GT, Sherrill TP, Han W, Sadikot RT, Yull FE, Blackwell TS, et al