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Old 07-23-2010, 10:32 PM
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Question Medicare IV home infusion billing without pump on claim

What is the protocol when billing Medicare for a drug claim after the pump has been transferred to the patient after the 13th rental month? I billed the drug (J1562), A4222, and A4221 on the claim with a narrative stating "pump has been transferred to patient after 13th month rental". Medicare denied the claim for reason code 107 - the related or qualifying claim/service was not identified on this claim. Am I missing something or did Medicare simply process the claim incorrectly?

Last edited by nathan; 07-23-2010 at 10:37 PM. Reason: incomplete posting
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Old 08-09-2010, 11:43 AM
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We don't do infusion, but we do enteral pumps, and when they cap I put something like "for use with pt owned B9002 purchased 8/9/10". It usually works.
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