Pvdcoder
Contributor
Hello,
My question is, if a patient in the ED received multiple IV drug infusions and one of the drugs only ran for 63 minutes, would I charge 96367 alone or do I add 96366 because it ran over 60 minutes? Here are the drugs that were given:
Patient was in the ER from 03/01/18 to 03/02/18
Infusions:
Vancomycin 3/1 2059-2336 total of 157 minutes
Azactam 3/1 2207-0024 total of 137 minutes
Mag Sulfate 3/1 2337-0129 total of 112 minutes
Flagyl 3/2 0026-0129 total of 63 minutes
I would charge it this way: Vanco - 96365 & 96366 x 2, Azactam – 96367 & 96366 x 1, Mag Sulfate – 96367 & 96366 x 1 and Flagyl – 96367.
I am being told that I should add CPT 96366 to the Flagyl charge because it ran over 63 minutes but I thought in order to charge 96366 it had to run at least 91 minutes. Does it only have to run over 60 minutes when charging a sequential infusion (96367) to add the subsequent (96366) charge? Can someone please explain if I should have charged the 96366 and why?
My question is, if a patient in the ED received multiple IV drug infusions and one of the drugs only ran for 63 minutes, would I charge 96367 alone or do I add 96366 because it ran over 60 minutes? Here are the drugs that were given:
Patient was in the ER from 03/01/18 to 03/02/18
Infusions:
Vancomycin 3/1 2059-2336 total of 157 minutes
Azactam 3/1 2207-0024 total of 137 minutes
Mag Sulfate 3/1 2337-0129 total of 112 minutes
Flagyl 3/2 0026-0129 total of 63 minutes
I would charge it this way: Vanco - 96365 & 96366 x 2, Azactam – 96367 & 96366 x 1, Mag Sulfate – 96367 & 96366 x 1 and Flagyl – 96367.
I am being told that I should add CPT 96366 to the Flagyl charge because it ran over 63 minutes but I thought in order to charge 96366 it had to run at least 91 minutes. Does it only have to run over 60 minutes when charging a sequential infusion (96367) to add the subsequent (96366) charge? Can someone please explain if I should have charged the 96366 and why?