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Thread: Outpatient Intraosseous Infusion of Drug

  1. #1
    Join Date
    Apr 2007
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    36

    Default Outpatient Intraosseous Infusion of Drug

    Do any of you know if the IV infusion codes are correct to code on an outpt coming in for drug infusion via intraosseous route? All info I have seen is no you cannot; however, all the information is for in emergency/code blue situations, and this situation is not an emergency.

    Annette, CPC, CEMC

  2. #2
    Join Date
    Apr 2007
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    Dover Seacoast New Hampshire
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    Default

    Here's what I found:

    The AMA’s CPT Knowledge Base states:
    Patients receiving intraosseous infusion are typically inpatients. Hence, the intraosseous infusion per se is performed by hospital nursing staff and not separately reported with any CPT code. The physician work of ordering of the infusion (rate/dose/duration) is already included in the appropriate level of the physician’s inpatient hospital E/M service. Code 36680 (Placement of needle for intraosseous infusion) describes a procedure in which a hollow needle is inserted through the skin and through the muscle tissue to puncture the bone marrow cavity, usually in the tibia or femur of a patient, whose vessels are otherwise inaccessible. The needle is used as a method of infusing fluids into the blood vessels in the bone marrow. Therefore 36680 is the only code that can be used; do not use the 963XX codes for the infusion portion
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  3. #3
    Join Date
    Apr 2007
    Location
    Columbia, MO
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    11,902

    Default

    Correct and you can bill the 36680 only if your physician performed that part of the procedure. If not then you cannot bill that either.
    You need to check with the payer if your patient is not an inpatient for this procedure, as the payer pay not reimbusre for it in any other setting.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Join Date
    Apr 2007
    Posts
    36

    Default

    Thank you!
    Annette

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