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Gloria Posted Tue 23rd of May, 2017 06:30:52 AM
Hello, I code for the emergency department and we frequently charge IV drug administrations. Our question is are we allowed to charge for any IV infusion, push, IM's or hydration if it shows it was given at the same time in the MAR per nurse documentation? Also, is the site required to charge IV pushes? Example: IV push of Morphine given left arm at 13:00, IV push of Zofran given left arm at 13:00? Can I code 96374 and 96375 or is this counted as 1? Do the same rules apply for IV hydrations and infusions if documentation shows it given at the same time and same site? Example: IV infusion of Rocephin right arm 14:00-15:25, IV push Morphine at 14:00 right arm, IM Ketorolac at 15:45 left arm and IM Ativan at 15:45 left arm. Can they all get charged? How would you charge for this? Can I charge 96365, 96375 x 2, 96372 x 2? Lastly, can I charge for multiple IV hydrations? For example, Hydration given 14:00-15:25 in the right arm and then again same site 16:00-17:25 and again from 22:00-23:25? Would I charge for one of these infusions or can I add all the times up? Thank you so much for you help!!
SuperCoder Answered Wed 24th of May, 2017 08:05:51 AM

Hi

Below are the answers of your questions.

  1. Yes, you  can charge for IV infusion, push, IM's or hydration if it shows it was given at the same time in the MAR per nurse documentation. 
  2. Can I code 96374 and 96375 or is this counted as 1? You have to code 99364 and 96375
  3. IV infusion of Rocephin right arm 14:00-15:25, IV push Morphine at 14:00 right arm, IM Ketorolac at 15:45 left arm and IM Ativan at 15:45 left arm. Can they all get charged? How would you charge for this? You can bill 96365, 96375, 96372 x 2
  4. Lastly, can I charge for multiple IV hydrations? You have to give hydration code with total time.

I hope it helps!

Thanks

SuperCoder Answered Wed 24th of May, 2017 08:05:53 AM

Hi

Below are the answers of your questions.

  1. Yes, you  can charge for IV infusion, push, IM's or hydration if it shows it was given at the same time in the MAR per nurse documentation. 
  2. Can I code 96374 and 96375 or is this counted as 1? You have to code 99364 and 96375
  3. IV infusion of Rocephin right arm 14:00-15:25, IV push Morphine at 14:00 right arm, IM Ketorolac at 15:45 left arm and IM Ativan at 15:45 left arm. Can they all get charged? How would you charge for this? You can bill 96365, 96375, 96372 x 2
  4. Lastly, can I charge for multiple IV hydrations? You have to give hydration code with total time.

I hope it helps!

Thanks

Gloria Posted Wed 24th of May, 2017 09:28:13 AM
Thank you for your help! Can you let me know about the site requirements? Is it necessary for the site to be listed in the MAR in order to charge for a IV infusion, IV push, IV hydration or IM's? Sometimes the MAR will have certain meds administered listed with the site and others are missing, again due to nurse documentation. Can we still charge for all the meds if no site is listed? Using my example above if the MAR shows the following can we code all? IV Infusion of Rocephin right arm 14:00-15:25; IV Hydration 14:30-16:00 no site; IV Push Morphine at 14:00 no site; IV Push Zofran at 14:00 right arm; IM Ketorolac at 15:45 left arm; IM Ativan at 15:45 no site; Can they all get charged even though some have no site? How would you charge for this? Thank you!
SuperCoder Answered Fri 26th of May, 2017 08:46:23 AM

You need to charge according to procedure like IV push or IM, you dont need to charge according to site. 

SuperCoder Answered Fri 26th of May, 2017 08:46:25 AM

You need to charge according to procedure like IV push or IM, you dont need to charge according to site. 

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