• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Observation and Injections Coding

Create Wiki
B

bford27

New
Messages
5
Best answers
0
Quick question to help settle an office dispute...we have an observation patient that received his IV and injection on the first day, and the second day received another drug injection. Some are arguing that this should be coded with a 96374 for the drug on the first day, and 96375 for the drug on the second day. Others are arguing that 96374 must be billed per date of service, meaning the second day would also be 96374, and the system is rejecting it the first way and saying it should be the second way, too. Keeping in mind this was a 48 hour observation stay, is it appropriate to bill by day, or consider the whole stay as one visit and bill the 96375 the next day? Opinions?
 
bford27 said:
Quick question to help settle an office dispute...we have an observation patient that received his IV and injection on the first day, and the second day received another drug injection. Some are arguing that this should be coded with a 96374 for the drug on the first day, and 96375 for the drug on the second day. Others are arguing that 96374 must be billed per date of service, meaning the second day would also be 96374, and the system is rejecting it the first way and saying it should be the second way, too. Keeping in mind this was a 48 hour observation stay, is it appropriate to bill by day, or consider the whole stay as one visit and bill the 96375 the next day? Opinions?
Click to expand...

I too code Observation stay infusions and when coding you would consider it one service no matter the number of days, there would only be one Initial service reported.
 
You must log in or register to reply here.
Top