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IV meds administered in office

  1. #1
    Default IV meds administered in office
    Medical Coding Books
    I am really hoping for a lot of help and guidance on this topic

    Our practice manager wants me to look into reimbursement and coverage for administering medications through IV here in our office(a family practice) instead of sending them to the hospital to have it performed. One example that he gave me was Reclast. I think I have found the HCPCS code of Q4095 but I am not sure which CPT code to use for the IV. I am thinking 96365 but I am not sure.

    Do any of you offer this service in your office and if so how is reimbursement and what codes do you bill out??
    Thanks in advance!!


  2. Default
    If IV infused, you would report 96365 (initial, up to 1 hour) drug administration, and J3488 for the Reclast/ Zometa. If IV infused for 15 minutes or less you would report 96374.

    See full range of drug administration codes to assure that you're appropriately capturing the correct codes based on drug, route and infusion time.

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  3. #3
    Thanks Anthony! It does help!

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