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Ketamine infusion

Mike Posted Tue 21st of July, 2015 17:18:48 PM

We are doing ketamine infusion in our office see note below:

PROCEDURE: For today's infusion the following medications were administered:

1. Hour 1 - Ativan 0.5 mg followed by 20 mg of IV ketamine over 60 minutes.
2. Hour 2 - Ativan 0.5 mg followed by 50 mg of ketamine.
3. Hour 3 - Ativan 0.5 mg followed by 50 mg of ketamine.
4. Hour 4 - Ativan 0.5 mg followed by 75 mg of ketamine.
The patient was administered approximately 1.5 L of normal saline throughout the infusion.

Am I correct to bill: 96365, 96366, 96366-59, 96366-59. And J2060 1 unit for Ativan and J3490 1 unit for Ketamine, and J7030 1 unit for Saline. Can I also bill the oxygen? Don't really know how to bill for O2 on our claim.

SuperCoder Answered Wed 22nd of July, 2015 01:32:26 AM

Yes you are billing it correctly for drugs. You can only bill normal saline if it was used as drug carrier. If it was administered to keep the vein open, it is not separately reimbursable. For infusion, the correct billing is 96365, 96366, 96366-59, 96366-59 and 96375 X4.

Mike Posted Wed 22nd of July, 2015 15:21:56 PM

Is the 96375 x4 for the Ativan part of the infusion?

SuperCoder Answered Thu 23rd of July, 2015 01:02:11 AM

Yes, I am considering it for Ativan only.

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