Although we no longer provide coding services for billing Ketamine Treatment, we are certain that you can enjoy timely reimbursements by accurately coding your services, which is why we have compiled for you, a guide on billing for Ketamine treatments.
The health insurance landscape is ripe for mistakes, misjudgments, and calculations. EMPClaims has always tried to leverage its expertise in area of Revenue Cycle Management so that healthcare becomes simpler for all stakeholders. The following content will help you use the accurate codes for the services provided by your facility for billing ketamine treatment.
Here we look at two primary HCPCS codes first.
Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified healthcare provider and provision of Wag nasal self-administration, includes 2 hours post-administration observation.
Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified healthcare provider and provision of WW nasal self-administration, includes 2 hours post-administration observation.
Description: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and a low level of medical decision making.
Notes: Report for IV infusions of 16-90 minutes.
Add-on Codes for above billing ketamine treatments
96366: Report for intervals of greater than 30 minutes beyond one-hour increments; also report for secondary or subsequent service after a different initial service through same IV access.
96367: Report in conjunction with 96365, 96374, 96409, or 96413 if provided as secondary service after a different initial service is administered through the same IV access. Report only once per sequential infusion of same infusate mix (multiple drugs mixed together in one bag is one infusate mix).
96368: Report in conjunction with codes 96365, 96366, 96413, 96415, or 96416. This is used in case of infusions running simultaneously via the same IV access; which must be hung in separate bags.
Let us now look at Hospital Consult and Progress Note Day codes for Inpatient billing ketamine treatment and Coding. Understanding and applying these correctly will help you maximize and expedite reimbursement for your billing Ketamine treatment services.
CPT Code 99255 is described by the CPT manual as follows: “Inpatient consultation for a new or established patient, requiring three key components for billing ketamine treatments:
Note: The 99233 represents the highest level of care for hospital progress notes.
Note: Report for intervals of greater than 30 minutes beyond one-hour increments; also report for secondary or subsequent service after a different initial service through same IV access for billing ketamine treatments.
J3490 is a valid 2023 HCPCS code for Unclassified drugs or just “Drugs unclassified injection” for short.
We may not take on your Ketamine Billing treatments and Coding but what we do provide is a well- rounded Revenue Cycle Management for your practice. To check out our Clinical Specialties and Solutions visit our website or get in touch with us right away for more details on various billing ketamine treatments.