sandrews21
New
Hi Everyone,
I would like some clarity on how to code Infusions. Several Coders in my department have different ways of interpreting Chart notes per the doctor/Practitioner and it's very confusing. When coding for normal saline, when is it appropriate to code 96361? I noticed that some Coders do not use this add-on code when there's documentation that normal saline was given for more than a half an hour. Also, when an Epi-pen is administered, is it appropriate to bill the Admin code of 96372 with this? Below is an example of a similar chart note that I see often:
11:45 22G Angio-cath put on place to left AC, prior to infusion blood return noticed and flushed with 10ml of NS without any complications. As per the Dr., patient received 4mg of Zofran; IV pushed, patient also received 1L of NS, patient tolerated all infusions well. Infusion stopped 1:15 and IV discontinued and pressure band aid applied, no sign or symptoms of infiltration observed.
This was billed as:
99213-25
96374
J2405 Zofran-4 units
J7030 1000 ML Normal Saline
87880
Is this correct? Please provide some clarity
I would like some clarity on how to code Infusions. Several Coders in my department have different ways of interpreting Chart notes per the doctor/Practitioner and it's very confusing. When coding for normal saline, when is it appropriate to code 96361? I noticed that some Coders do not use this add-on code when there's documentation that normal saline was given for more than a half an hour. Also, when an Epi-pen is administered, is it appropriate to bill the Admin code of 96372 with this? Below is an example of a similar chart note that I see often:
11:45 22G Angio-cath put on place to left AC, prior to infusion blood return noticed and flushed with 10ml of NS without any complications. As per the Dr., patient received 4mg of Zofran; IV pushed, patient also received 1L of NS, patient tolerated all infusions well. Infusion stopped 1:15 and IV discontinued and pressure band aid applied, no sign or symptoms of infiltration observed.
This was billed as:
99213-25
96374
J2405 Zofran-4 units
J7030 1000 ML Normal Saline
87880
Is this correct? Please provide some clarity