William Ivan Posted Sun 15th of June, 2014 22:01:57 PM
How would I properly bill a procedure where our physician provided 1 gram of Rocephin by IV in an office setting
SuperCoder Answered Mon 16th of June, 2014 10:40:16 AM
Thanks for your question.
You would need to determine the start and stop time for the infusion in order to calculate infusion time. If you do not have this information available to you, please query your provider or the nurse that administered the drug. The coding is determined by the time spent on infusing the drug. Bill 96365; Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial up to one hour. If the infusion lasted beyond an hour, at least an additional 30 minutes the add-on code 96366 should be billed.
The Rocephin is billed using the code J0696; Injection, Ceftriaxone sodium, per 250 mg. Since the patient was given 1 gram of Rocephin 4 units of J0696 should be billed.