Wiki Determining if pre and post medication adm given during an ER procedure are billable

[Irene Murphy]

Hello,

We are trying to determine if we are allowed to bill separately for the administration of medications prior to and after a procedure such as a laceration repair or a wrist reduction done in the ER. Often after a wrist reduction in the ER the patient will receive Zofran for nausea and Dilaudid for pain control. Any insights would be greatly appreciated.

 

[aparnita bakshi]

As per coding guidelines, these are pain control medications always required after minor procedures/surgery and are NOT reimbursable. Because these services need direct supervision, hence are not coded by ER physician. These services are usually reported by ED facility as per injection/infusion hierarchy.