HCPro, JustCoding Outpatient - 2015 Issue 14 (April)
Q&A: Coding for an infusion with no stop time
April 15th, 2015
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Article Overview
This short Q&A article addresses how to think about infusion-versus-push documentation when a medication is administered multiple times over a short period and no stop time is recorded. It is aimed at coders and billing professionals who need guidance on interpreting sparse infusion documentation and selecting appropriate reporting categories for the service and drug supply.
Why This Topic Matters
Incomplete medication-administration documentation can affect how infusion services and associated drugs are reported. Articles like this help coding staff evaluate whether the record supports an infusion-based service and understand the general reporting context for drug administration.
What You Will Learn
- How a missing stop time can affect interpretation of medication administration documentation
- General distinctions discussed between infusion-based services and push-based services
- How infusion service reporting may relate to separately reported drug supply items
- What kinds of documentation limitations can make coding decisions uncertain
Who Should Read This
- Medical coders
- Outpatient billing staff
- Hospital revenue cycle professionals
- Coding auditors
- Clinical documentation specialists
Codes Discussed
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