ncurtis
New
Patient came in with abdominal pain, Nausea and vomiting. This is not for a facility
but for a Physician based practice.
I was going to code this out as follows.. Please not I've only included the Hydration/IVP notes below..
99214.25,99354,96360,96361,j7030(ns),j2060 (ativan), 96375,j1885(toradol),96375,j2405 96375. Am I correct??
07/01/2011. ATIVAN 1mg diluted with 5 mL slow IVP over 1 minute. IV patency established. IV site checked: no pain, redness, or swelling. IV flushed thoroughly pre- and post-medication administration.
10:40 07/01/2011. IV FLUIDS STARTED: bag #1-1000 mL NS; at site #1 right antecubital space via IV pump (500 mL/hr started at 10:40)
10:35 07/01/2011. IV access: site #1, right antecubital space, 20g angiocath, with aseptic technique and good blood return; one attempt. Blood drawn: rainbow set. Labeled in the presence of the patient and sent to the lab.
10:45 07/01/2011. TORADOL 30 mg 10:45 slow IVP over 2 minutes via IV site #1. IV patency established. IV site checked: no pain, redness, or swelling. IV flushed thoroughly pre- and post-medication administration.
10:45. ZOFRAN 8 mg diluted with NS slow IVP over 2 minutes via IV site #1. IV patency established. IV site checked: no pain, redness, or swelling. IV flushed thoroughly pre- and post-medication administration.
11:15. COMPAZINE 10 mg diluted with NS slow IVP over 2 minutes via IV site #1. IV patency established. IV site checked: no pain, redness, or swelling. IV flushed thoroughly pre- and post-medication administration. Sedative drug warning given to the family.
13:00. IV FLUIDS STOPPED bag #1. Total amount infused = 1000 mL (1000 mL). --15:39
but for a Physician based practice.
I was going to code this out as follows.. Please not I've only included the Hydration/IVP notes below..
99214.25,99354,96360,96361,j7030(ns),j2060 (ativan), 96375,j1885(toradol),96375,j2405 96375. Am I correct??
07/01/2011. ATIVAN 1mg diluted with 5 mL slow IVP over 1 minute. IV patency established. IV site checked: no pain, redness, or swelling. IV flushed thoroughly pre- and post-medication administration.
10:40 07/01/2011. IV FLUIDS STARTED: bag #1-1000 mL NS; at site #1 right antecubital space via IV pump (500 mL/hr started at 10:40)
10:35 07/01/2011. IV access: site #1, right antecubital space, 20g angiocath, with aseptic technique and good blood return; one attempt. Blood drawn: rainbow set. Labeled in the presence of the patient and sent to the lab.
10:45 07/01/2011. TORADOL 30 mg 10:45 slow IVP over 2 minutes via IV site #1. IV patency established. IV site checked: no pain, redness, or swelling. IV flushed thoroughly pre- and post-medication administration.
10:45. ZOFRAN 8 mg diluted with NS slow IVP over 2 minutes via IV site #1. IV patency established. IV site checked: no pain, redness, or swelling. IV flushed thoroughly pre- and post-medication administration.
11:15. COMPAZINE 10 mg diluted with NS slow IVP over 2 minutes via IV site #1. IV patency established. IV site checked: no pain, redness, or swelling. IV flushed thoroughly pre- and post-medication administration. Sedative drug warning given to the family.
13:00. IV FLUIDS STOPPED bag #1. Total amount infused = 1000 mL (1000 mL). --15:39