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Sun Knowledge @nancyadams added blog in Health
2026-01-19 21:40:04 ·

Regulatory Changes in Infusion Billing in 2026

2026 brought real policy shifts that affect infusion billing as new CPT codes landed for digital health and monitoring. CMS pushed plans to support electronic prior authorization and to report metrics. Part B drug payment and reporting rules have also changed, and if your team did not plan for these, you will feel delays and more denials. Start by loading the 2026 CPT and HCPCS tables as the...

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Sun Knowledge @nancyadams added blog in Health
2025-12-16 18:23:33 ·

Tackling Injection and Hydration Billing with Infusion Billing Services

Infusion, injection, and hydration services all fall under the same radar. Infusion is the process of dispensing medications or fluids directly inside the patient’s bloodstream. Moreover, hydration is delivering intravenous fluids with or without electrolytes into the patient’s bloodstream and injection is injecting a fluid into the patients’ veins. So, you need to use proper...

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Sun Knowledge @nancyadams added blog in Health
2026-03-04 21:09:33 ·

The Importance of CPT Code 96413 in Infusion Billing

The CPT code 96413 is needed in the first hour of monoclonal antibody, intravenous chemotherapy and complex infusion for drugs. It is also used for treatments which cover initial 16 minutes to one hour infusion process. ASCO publication states that the national commercial median value for CPT code 96413 is around $536, which is very high for a single code. Moreover, CMS also states that the...

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