Name of Manual - Blue Cross and Blue Shield of Minnesota

Home Infusion
(continued)
Coding Policies and Guidelines (Home Health, Home Infusion, Hospice)
Nursing Services
Code home IV nursing visits lasting up to two hours using CPT
code 99601. Report each additional hour beyond the initial two
with 99602 with the appropriate number of units.
When provided in the infusion suite of a home infusion agency,
code each nursing visit lasting up to two hours using CPT code
99199, with a narrative description. Report each additional hour
beyond the initial two with 99199-52 with the appropriate number
of units, in accordance with the NHIA (National Home Infusion
Association) recommendations for billing.
Catheter Care
Bill catheter care per diems (S5498, S5501, S5502) when provided
as a stand-alone therapy. Insertion by a nurse of a PICC line
(S5522) or midline (S5523) is coded separately from the other
nursing visit code and per diem. Supplies required from nonroutine
catheter procedures such as de-clotting supplies (S5517),
repair kits (S5518), PICC insertion supplies (S5520) and midline
insertion supplies (S5521) are coded separately.
Prior Authorization
Prior authorization is recommended when supplying IVIG, Factor
products, Aldurazyme, Fabrazyme, Synagis or other drugs not yet
identified. A Prior Authorization can be completed using the
standard PA form F1676 R9. For the members insured by a Blue
Cross plan of another state, check the prior authorization
requirements of that state.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (07/12/12)
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