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August 2018

Clarification on waiving nursing orders for home infusion therapy

In the June 2017 Record, we published an article about waiving nursing requirements for home infusion services. We’d like to clarify the following: You may obtain a verbal order from the ordering physician to change the nursing orders.

Please include the following in your documentation:

  • That the member or personal caregiver has a proven and adequate sterile infusion technique
  • Confirmation that the member or caregiver is aware that nursing is available on an as-needed basis
  • The first and last name of the person you spoke with at the office, as well as the date and time of your conversation
  • A legible signature signed by the registered nurse or registered pharmacist who took the verbal order

Reminder: Injections (for example, subcutaneous or intramuscular) are only payable when administered on the same day as an approved medical intravenous therapy session, according to the Home Infusion Therapy Services Provider Manual.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.