A patient was transferred to our facility due to acute cerebral infarction. At Hospital A, prior to transfer, tissue plasminogen activator (tPA) was administered intravenously into the peripheral vein. We have been advised that the tPA administration should not be reported at Hospital B. However, the infusion of tPA is still ongoing, during the transport, and upon arrival at our facility. Is it appropriate to assign the ICD-10-PCS procedure code 3E03317, at Hospital B?
No, it is not appropriate to assign code 3E03317, Introduction of thrombolytic into peripheral vein, percutaneous approach, for the receiving hospital (Hospital B). This is not a new infusion, but a continuing infusion. The infusion of tPA is still ongoing, from the first hospital when the patient arrived at Hospital B.
ICD-10-CM code Z92.82, Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to the current facility, should be assigned at Hospital B to describe this situation.