Wiki administration of drugs

[patchapman]

If a physician performing an operative procedure provides a drug administration service (CPT codes 96360-96375) for a purpose unrelated to anesthesia, intra-operative care, or post-procedure pain management the drug administration service (CPT codes 96360-96375) may be reported with an NCCI-associated modifier if performed in a non-facility site of service.

Facility coding
With the above NCCI edit a patient comes into ED gets worked up receives pain meds; then the MD comes in and reduces the fracture and splints. Then the patient receives injection for pain after the reduction. Can we bill for the administration of this injection after the reduction?
How about the pain medication prior to the reduction?

 

[OCD_coder]

Per Medicare guidelines, pain control is inclusive and not billable as a separate service.

Anything that is consider typical pre or post operative care is inclusive to the surgery service.