Infusion Therapy Billing

Wiki Article

Infusion Therapy Billing refers to the medical billing process associated with intravenous (IV) administration of medications, fluids, or biologic therapies.

Overview

Infusion billing is considered a complex area of medical billing due to detailed coding requirements, payer-specific rules, and high-cost medications. It requires accurate documentation of drug administration time, dosage, and procedure type. [1]

Coding Systems

Infusion therapy billing typically uses:

• 
  CPT (Current Procedural Terminology) codes
  


• 
  ICD (International Classification of Diseases) codes
  


• 
  HCPCS (Healthcare Common Procedure Coding System) codes
  

Challenges

Common challenges include claim denials, prior authorization requirements, and frequent changes in payer policies. [2]