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

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Irene Murphy

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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.
 
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.
 
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