Home Forums Discussions Coding and Billing Humate Infusion in Pediatrician office

Looking for some coding guidance as I have zero experience with infusions.
Patient with history of von Willebrand Syndrome presents for infusion of Humate-P prior to dental surgery. I have no idea what codes I can or should bill for the infusion. Can I bill for all of the time spent with the patient also (3.5 hrs total) or is that bundled with the code for the actual infusion?? Can/should I bill for an initial push as well as the initial infusion of up to 1 hour? It also seems there is very specific billing for the Humate-P and the number of units?? I just want to get this right...LOL

Please...any assistance would be HUGELY appreciated!!!

Thanks,
Kris

I was curious so I went to the humate website. Try this site
https://www.humate-p.com/hcp/resources-and-tools/reimbursement

It appears there are 3 codes I went to this site to understand them better
https://www.americanmedicalcoding.com/cpt-code-96365-96372-96374-96360/

The first website has a telephone number for insurance inquiries, that may be the ultimate answer.

If they want you to use their product, they should help you bill for it. Now as for the product, it would depend on whether you are purchasing it and getting reimbursed (like vaccine) or it is billed direct to insurance (like synagis). Hopefully the latter because most of these small drugs are insanely expensive. Not worth playing the middle man

Any update? Wondering if you got this resolved? Did you get paid? I can't help you with your question but your solution might help me in the future! Thanks