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graded IV challenge

Sharon Posted Mon 16th of January, 2017 15:39:43 PM
Can you help me with coding a graded IV challenge? -Start IV -Administer three doses of medication IV: 1/100 of a dose, 1/10 of a dose, then the remainder of the dose -Doses are administered 30 minutes apart -Patient is monitored for 1 hour after the final dose -Vital signs are checked every 10-30 minutes
SuperCoder Answered Tue 17th of January, 2017 06:31:11 AM

Hi,

Could you please provide the details of the infusion start and stop time of the each drug administered?

Also, are the doses administered are of the same drug or different drugs, i.e. Simple infusion, concurrent or sequential?

Is it a simple or chemotherapy infusion?

The clarity on the above information would help us determining the appropriate codes.

Thank you.

Sharon Posted Tue 25th of April, 2017 15:41:06 PM
Graded Cefazolin IV Challenge on 9/27/2016 1:45pm 1st dose administered (2.5mg, infusion of first dose only took about 20 seconds) 2:15 2nd dose administered (25mg, infusion took just over 3 minutes- 2:15 through 2:18) 2:53 Began infusion of 3rd and final dose (remainder of 250mg). Infusion completed at 3:10 (took 17 minutes). For IV infusion patient was monitored from 1:45 through 4:10 (beginning of infusion through one hour after administration of dose 3 was completed). Vital signs were monitored every 15 minutes from 1:45 through 4:10. Graded Vancomycin IV Challenge on 9/17/2016 10:25am 1st dose administered (5mg, infusion of first dose took 4 minutes- 10:25 through 10:29) 11:10 2nd dose administered (50mg, infusion took 7 minutes- 11:10 through 11:17). 11:55 Began infusion of 3rd and final dose (remainder of 500mg). Infusion completed at 12:50 (took 55 minutes). Patient was monitored for one hr 8 min after final infusion completed. For IV infusion patient was monitored from 10:25 through 1:58 (beginning of infusion through 1 hr and 8 min after dose 3 infusion completed). Vital signs were monitored every 15 minutes from 10:25 through 1:58.
SuperCoder Answered Wed 26th of April, 2017 07:31:04 AM

Coding for DOS 09/27/2016: CPT codes 96365x1, 96375x2, HCPCS code J0690x1.

 

Coding for DOS 09/17/2016: CPT codes 96365x1, 96375x2, HCPCS code J3370x2.

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