drug administration

  1. R

    Wiki Billing for drugs when the administration code is bundled.

    It's generally understood that even if, due to bundling, we're unable to bill for an administration code we still bill the HCPCS code for the drug administered. For example, when a therapeutic hip joint injection (20610) is performed during the same session in the same anatomic location as hip...
  2. R

    Wiki Qutenza Questions

    I am researching the use of the Qutenza patch for PHN and DPN. I've found almost everything I need, however, I've run across conflicting information regarding the correct administration code. I believe I have it narrowed down to either 64999 or 17999. This treatment is new to our providers and I...
  3. M

    Wiki Drug waste & -JW mod

    If a physician injects 6 units of a 100 unit single use Botox vial for Clonic hemifacial spasm, does 94 units have to be reported as waste with the modifier JW? Do all insurances pay the waste? Thanks in advance!
  4. A

    Wiki Drug Reaction billing and documentation

    If we mix two drugs for a patient in separate bags and bring both to chair side but during the first drug infusion the patient has a reaction, can we bill for the second drug as it was intended to give even though it was never hooked up to the patient's line? And what documentation should be...
  5. P

    Wiki Multiple IM's (CPT 96372) given at the same time in the ER

    Hello, Can someone please let me know if we are allowed to charge for multiple IM's given at the same time but documented in different sites? I know it technically couldn't happen but it would be due to nurse documentation. For example: Ativan IM Right Arm at 15:00 Ketorolac IM Left Arm at 15:00
  6. R

    Wiki Proper billing for "brown bagged" drugs

    What is the general consensus regarding billing for a the administration of a "brown bagged" drug? For example, when a patient has their medication sent to the practice via a Specialty Pharmacy(i.e, Shingles vac, Gardasil, Prolia, etc), our practice will administer the medication and bill the...
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