akoschoff
Contributor
Some clinics document the administration of Pediarix as so:
Name Trade Name Route Inj
DTap Pediarix IM RVL
Hep B Pediarix IM RVL
IPV Pediarix IM LVL
They want to charge for the Pediarix code, but the issue I have is that the documentation does not show they were all given in the same location. When I query this, they state it is one injection, and that they will switch the location to all match. They say that they have to record each component separately to show that each was given. I feel when they document it as above, that each component should all be coded out and charged individually (DTap, Hep B, and IPV) with three injection codes rather than using the Pediarix CPT code and one injection code.
I have talked with some people who say that it should be only one injection code since the serum is only being drawn up once. They also say that maybe they administered half in one leg and half in the other due to only so much can be administered in one location.
I guess my questions are:
1. If they document it as above, what is the appropriate way to code this?
2. What is the definition of 'administration?' I was thinking administration was the actual giving of the injection and not the drawing from the vial.
Name Trade Name Route Inj
DTap Pediarix IM RVL
Hep B Pediarix IM RVL
IPV Pediarix IM LVL
They want to charge for the Pediarix code, but the issue I have is that the documentation does not show they were all given in the same location. When I query this, they state it is one injection, and that they will switch the location to all match. They say that they have to record each component separately to show that each was given. I feel when they document it as above, that each component should all be coded out and charged individually (DTap, Hep B, and IPV) with three injection codes rather than using the Pediarix CPT code and one injection code.
I have talked with some people who say that it should be only one injection code since the serum is only being drawn up once. They also say that maybe they administered half in one leg and half in the other due to only so much can be administered in one location.
I guess my questions are:
1. If they document it as above, what is the appropriate way to code this?
2. What is the definition of 'administration?' I was thinking administration was the actual giving of the injection and not the drawing from the vial.