Pediatric Coding Alert

You Be the Coder:

E/M Codes Cover Oral Pain Medications

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?

Codify Reader

Answer: No, you should consider the administration of the oral drug included in the related E/M service (such as 99201-99215, Office or Other Outpatient Visit…).

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 services such as giving the patient an opioid medication to treat opioid addiction in the privacy of a physician’s office.