Page 1 of 2 12 LastLast
Results 1 to 10 of 14

IM injection and IV push in the ER

  1. #1
    Default IM injection and IV push in the ER
    Medical Coding Books
    Can you bill for IM and IV infusions in the ER?

    Example - patient has DM and bronchitis, and receives Solu-Medrol IV, and insulin sub cut.

    I am receiving denials for these based on CCI edits, indicating that they cannot be billed together.

    Any thoughts or advice appreciated.

  2. Default IM injection and an IVP
    You can bill for the IVP of solu-medrol, but the subq of insulin is a medication that can be self administered, so you are not supposed to charge for it. Now if the insulin is being given IVP or drip infusion, you can charge for it. Hope that helps.

  3. #3
    Location
    Johnstown, Pennsylvania Chapter
    Posts
    40
    Default
    You might also need a modifier on the facility E&M I know I get these as an edit and they can and should be billed together.

    Still if you have an IV push and an IM injection of somthing other than insulin or a vaccination you can still bill these two codes together. They will still hit an edit and you will have to add a 59 modifier to one of them.

  4. Default
    I realize this is late but it should have a 25 modifier on the e&m, 96374 if IV push or 96365 if infusion more than 15 minutes and a mod 59 on the 96372....... and YES you CAN bill for the 96372 in the er setting

  5. #5
    Location
    Johnstown, Pennsylvania Chapter
    Posts
    40
    Default
    I am well aware that you can charge for an IM in the ER but NOT for inuslin IM. If it is given IVP you can.

  6. Default
    Quote Originally Posted by smflana View Post
    I am well aware that you can charge for an IM in the ER but NOT for inuslin IM. If it is given IVP you can.
    I actually hate to tell you but you sure can. I have been coding ER for over five years and I know for a fact that you can. And another thing, insulin is not given IM.... it is given subcutaneous

  7. #7
    Location
    Johnstown, Pennsylvania Chapter
    Posts
    40
    Default
    Would love to see your resources stating that you can do this?

  8. #8
    Default
    I have been coding er's for 10 yrs and YOU CAN NOT charge for the subcut insulin because it is a self-adminastraion drug.
    the e/m code needs a 25 added to it, charge the IVP and nothing for the IM isulin injection.
    If the insulin was given as an infusion then I would code for that.

  9. #9
    Location
    Gastonia
    Posts
    10
    Default
    Per coding quidelines you need to as a -59 to any 96372 charged with a 96374 or a 96365.

    As far as billing insulin given IM or SQ we currently do at our facility and we have never been directed no to per audits.
    Kristin N. Enderby, CPC

  10. #10
    Location
    Columbia, MO
    Posts
    12,531
    Default
    I too have always billed the sq insulin in the facility, I have looked thru numerous web sites and bulletins and I have seen nbothing that says this cannot be done. So if those of you who are saying this is not allowed could provide your source document for that I would be very grateful.
    Thank You

    Debra A. Mitchell, MSPH, CPC-H

Page 1 of 2 12 LastLast

Similar Threads

  1. 96374 IV Push : define "push", please
    By CarolLR in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 07-23-2013, 12:12 PM
  2. IV Push
    By turnerdc@gmail.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-01-2013, 12:20 PM
  3. IV and IV push
    By ahuffman in forum Auditing General Discussion
    Replies: 0
    Last Post: 11-22-2010, 02:43 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.