Outpatient Facility Coding Alert
Try Reporting 99070 for 'GI Cocktail'
PDF
Question: The gastroenterologist noted that he administered a GI cocktail. What is this, and how should we bill it?
Answer: A GI cocktail is a mixture of antacid, viscous lidocaine and anticholinergics that the gastroenterologist will sometimes administer orally to patients as a treatment for dyspepsia.
There is no specific code to report this mixture. You can try reporting this with 99070 (Supplies and materials [except spectacles], provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered [list drugs, trays, supplies, or materials provided]) in the professional setting or J8499 (Prescription drug, oral, non chemotherapeutic, NOS) in the ASC. However, it is most likely that payers will not reimburse for this and the cost will be included within the E/M or the procedure that was performed. Under Medicare, it is considered a self-administered drug, and therefore, non-covered.
Virginia Subscriber
Outpatient Facility Coding Alert
- Radiology:
Learn These Rules for Diagnostic vs. Screening Mammography
Tip: Extra views don’t automatically change your coding. Facilities sometimes have policies stating that the [...] - Reimbursement:
Think Twice About Billing Infrared Therapy Treatments
Heed what CMS says about reimbursing 97026. Providers with some therapy clinics tend to lean [...] - ICD-10:
Verify 3 Points to Break Down Jones Fracture Code Options
You’ll need more details for success in ICD-10. If an orthopedic surgeon treats a Jones [...] - Auditing:
Follow This 10-Point Checklist for Successful Self-Audits
Tip: Start searching your records now, not when you hear from OIG. Auditing your facility’s [...] - You Be the Coder:
Coding for Tissue Welding Tonsillectomy
Question: What CPT® code is appropriate for tissue welding tonsillectomy? Can I use code 42826 [...] - Reader Question:
Payer Rejecting New Codes? Report to AMA
Question: We already have payers that are rejecting the new CPT® codes. They are not [...] - Reader Question:
Always Have a Written Order for 76376
Question: Does the ordering doctor need to request the use of 3D reconstruction codes? We’re [...] - Reader Question:
Lack of Details Leads to 780.57 for Sleep Apnea
Question: What is the best diagnosis code for complex sleep apnea?
Texas Subscriber [...] - Reader Question:
Situation Dictates Margin Re-Excision Coding
Question: The surgeon performs a lesion re-excision for margin removal because the pathology report identifies [...] - Reader Question:
Try Reporting 99070 for 'GI Cocktail'
Question: The gastroenterologist noted that he administered a GI cocktail. What is this, and how [...] - Reader Question:
Watch New Guidelines for Chemodenervation
Question: Can you please clarify if we can still use the chemodenervation codes 64612 and [...]