Wiki Adenosine - heart cath procedure

coding4fun

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Could someone please advise how I would bill out the use of Adenosine during a heart cath procedure.

My doc (who has hosp privledges while working in his own practice) goes to hosp to perform heart cath. I realize that I cannot bill out the med (adenosine) as this is supplied by the hospital itself. What cpt's can I bill out for administration of the med?

For nitro admin I was advised to bill out 37202-59 & 75896-59.

Thanks for your help with this issue.
 
It depends on the reason for the infusion; if the adenosine is for a challenge test, I report add-on +93463 with the cath code (i.e. 93451-26).
HTH
Celeste
 
The NCCI Provider Policy Manual states the following: "The global surgical package includes the administration of fluids and drugs during the operative procedure. CPT codes 96360-96376 should not be reported separately. Under OPPS, the administration of fluids and drugs during or for an operative procedure are included services and are not separately reportable (e.g., CPT codes 96360-96376)."
 
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