Pediatric Coding Alert
Don't Separately Code Pain Reliever Administration
Question: Is there a code that I can use for the administration of Tylenol or Motrin? The only code that I have found for oral medication administration is H0033. Is it appropriate to use the code in this context?
Pennsylvania Subscriber
Answer: No, you instead should include the administration of the oral drug in the related E/M service (such as 99201-99215, Office or other outpatient visit).
HCPCS code H0033 (Oral medication administration, direct observation) is in the alcohol and drug abuse treatment services. Some private health insurers are using the code for reporting buprenorphine treatment services, such as giving the patient an opioid medication to treat opioid addiction in the privacy of a physician's office.
Pediatric Coding Alert
- Medicaid:
96110: Use This Tool to Fight Medicaid Denials for Developmental Screening
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Consider these changes that have already been instituted before the code set even takes effect. [...] - You Be the Coder:
Know the Ropes for Reporting Sick Evaluation During Well Visit
Question: When parents present with infants for regular health checkups at two, four, and six [...] - Reader Question:
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Question: Two of our insurers follow the Medicare fee schedule in assigning fees, and we [...] - Reader Question:
Elucidate Recording of 'None' for Family History
Question: Our physician often records the word "none" under the "family history" section of his [...] - Reader Question:
'Prevnar-13' Does Not Contain 13 Components
Question: What is the proper way to bill for Prevnar-13? Our coding/billing staff is confused [...] - Reader Question:
Consider These Diabetes Education Options
Question: A pediatrician and physician assistant are educating some parents on diabetes, exercise, and nutrition [...] - Reader Question:
Don't Separately Code Pain Reliever Administration
Question: Is there a code that I can use for the administration of Tylenol or [...] - Reader Question:
E/M Code Assignment Is Unrelated to Established Problem
Question: We recently finished our first internal audit and found a potential issue: One of [...]
