tpa infusion following transfer to other facility

[victoriagould]

My question involves tpa infusions. Patient is at our private practice cathlab on 1/25 undergoing a procedure for lower extremity stent and thrombectomy. At the end of the procedure long-term thrombolysis 37211 is started and the patient is tranferred to an acute hospital where it is continued. On the same day 8 hours later on 1/25, our doc goes to the hospital and does a re-look angio only and tpa is discontinued. Once the patient is transferred to a new location would the tpa infusion be coded as initial again 37211? How would the hospital portion be coded?

 

[Jim Pawloski]

My question involves tpa infusions. Patient is at our private practice cathlab on 1/25 undergoing a procedure for lower extremity stent and thrombectomy. At the end of the procedure long-term thrombolysis 37211 is started and the patient is tranferred to an acute hospital where it is continued. On the same day 8 hours later on 1/25, our doc goes to the hospital and does a re-look angio only and tpa is discontinued. Once the patient is transferred to a new location would the tpa infusion be coded as initial again 37211? How would the hospital portion be coded?

37214- Infusion for thrombolysis, subsequent day w/ cessation of treatment would be the correct code to use. Since the procedure is not starting as a totally new procedure 37211 would not be correct.
HTH,
Jim Pawloski, CIRCC