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Calcium/Mag w/Oxaliplatin Coding

  1. Question Calcium/Mag w/Oxaliplatin Coding
    Exam Training Packages
    We are trying to understand why this encounter would be coded like it is:

    1.Calcium IVPB 9:25-9:57a (separate bags, one line)
    2.Magnesium IVPB 9:25 -9:57a (separate bags, one line)
    3.Zofran & Decadron 10:02-10:22a (same bag, one line)
    4.Oxaliplatin 10:35a-12:40p
    5. Calcium IVPB 12:50-13:25 (separate bags, one line)
    6.Magnesium IVPB 12:50-13:25p (separate bags, one line)
    7. 5 FU IVP 13:30-13:40p
    8. Avastin 13:47-14:17p

    Here is how we coded:
    1. 96367
    2. 96367
    3. 96368
    4. 96413, 96415
    5. & 6. 96366 <--- why use this code for the 2nd dose of Cal/Mag (we are only getting credit for one med)
    7. 96411
    8. 96417

  2. #2
    96367 X 2

    That is how i would code. The ca/mg is too far apart to use a second hour and from what i understand, you can only code 96367 once for the same infusate mix.

  3. Default Calcium/Mag w/Oxaliplatin Coding
    Based on what you coded, there is no credit for the second Cal/Mag. Why not assign 96366and why do we count the first Cal/Mag as a sequential but not the post administration as a sequential ( or get credit for two substances like we did in the pre administration).

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