Results 1 to 7 of 7

infusions - can someone help on this

  1. Default infusions - can someone help on this
    Medical Coding Books
    can someone help on this, if I have an infusion starts at 1735-1800 of rocephin and they have another infusion started at 18:20-2000 of levaquin, does the 30 minute rule apply to the 1st infusion? Or does it even apply since the 1st infusion was more than 15 minutes?..thank you for all the help..alice

  2. Default
    Quote Originally Posted by alices View Post
    can someone help on this, if I have an infusion starts at 1735-1800 of rocephin and they have another infusion started at 18:20-2000 of levaquin, does the 30 minute rule apply to the 1st infusion? Or does it even apply since the 1st infusion was more than 15 minutes?..thank you for all the help..alice
    In order to code for infusion, it has to be 16 minutes or more up to one hour.

  3. Default re-infusions
    Thank you, but I think I am asking wrong so I am sorry, if my 1st infusion is for 20 minutes then they order another infusion and it is for 1 hour i can code 96365 and 96366n right? I think I am confusing myself because of the 31 minutes needed for a 2nd infusion..thanks alice

  4. #4
    Default
    Hi Alice,

    i think i understand what you are asking.

    the total med infusion time is 1 hour & 20 minutes, total, right? There is a 30 minute threshold for additional infusion charging, but that is when it is the same medication being infused, and that is where the 30 minute threshold for the second hour to be charged comes into play. When you have a sequential med infusion (a different drug), it has to be at least 16 minutes, and up to 90 minutes, after the initial infusion, for you to be able to charge the 96367. The 96366 would not be used in this scenerio, as that code would only be charged if the medication was the same.. Does that make sense?

    p.s.

    FYI.... I learned alot about inj/inf coding from Emily (eadun2000), so she can definitely be a good friend in that area for you in the future...

    Hi Em!!
    Last edited by LTibbetts; 05-06-2011 at 01:00 PM.

  5. #5
    Default
    Quote Originally Posted by alices View Post
    can someone help on this, if I have an infusion starts at 1735-1800 of rocephin and they have another infusion started at 18:20-2000 of levaquin, does the 30 minute rule apply to the 1st infusion? Or does it even apply since the 1st infusion was more than 15 minutes?..thank you for all the help..alice
    Hi Alice,

    Are you referring to 96366 for each additonal hour that requires more than 30 minutes beyond the initial hour? If so, you would need an infusion of at least 91 minutes to code it in addition to the initial hour code.

    Your infusions are greater than 15 minutes so the Rocephin infusion in this scenario is the initial service, 96365. The Levaquin is a sequential service if given via the same access, 96367.

  6. Default re-infusions
    Thank you so much for your help, And yes I think I understand now, I was thinking wrong, I thought the 96366 was for each addt'l drug, so thanks again for everything...alice

  7. Default med infusion
    pt had 2 doses of KCL in 50 D5W. They were given 8hrs apart. Both ran for 2 hrs. We coded the first as 99365 & 99366. How do we code the second?

Similar Threads

  1. infusions again please
    By alices in forum Emergency Department
    Replies: 2
    Last Post: 07-25-2013, 11:19 AM
  2. IV infusions
    By alysn1drlnd in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-03-2013, 01:15 PM
  3. infusions again
    By alices in forum Emergency Department
    Replies: 3
    Last Post: 04-11-2013, 08:11 AM
  4. infusions - I am sorry to bring this question
    By alices in forum Emergency Department
    Replies: 1
    Last Post: 10-06-2011, 11:41 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.