tci ED Coding & Reimbursement Alert - 2005 Issue 10

Reader Questions: Nix 90782 in ED

Question: When the physician sees the patient for an injury in the ED, is it appropriate to use 90782 for a tetanus toxoid administration? Alabama Subscriber Answer: Since the "incident-to" provision does not apply in the emergency department, and you would have a difficult time justifying the medical necessity of having the physician administer the injection, you will rarely report 90782 (Therapeutic, prophylactic, or diagnostic injection [specify material injected]; subcutaneous or intramuscular) in the ED setting. In the office setting, CPT instructs you to select the name of the procedure or service that accurately identifies the service performed, rather...

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