tci Outpatient Facility Coding Alert - 2017 Issue 8

Reader Question: How to Code Overlapping Infusions

Question: I’ve been noticing a lot of situations where nurses schedule infusions at overlapping times. This makes it difficult to bill for each procedure. For example: A nurse administers: Paclitaxel from 13:26-14:30, Dexamethasone from 12:40-13:00, Diphenhydramine from 12:55-13:15, and Famotidine from 13:10-13:30. With overlapping infusion times like this, how should I code to accurately reflect all infusions? Florida Subscriber Answer: For your initial infusion code, Paclitaxel, you will use the code 96413(Chemotherapy administration, intravenous infusion technique; up to one hour, single or initial substance/drug) for the time administering the drug @ 13:26-14:30. For the infusion of Dexamethasone @...

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