tci ED Coding & Reimbursement Alert - 2017 Issue 9

You Be the Coder: Know How to Code Multiple Infusion Days in Observation

Question: When we see observation patients, we aren’t sure how to report infusions on multiple days. Our current process is to treat the entire observation stay as one encounter. For example, if we have a push on the first date and then an infusion on the second date, followed by three hours of hydration, we would charge as follows: Day one: 96374 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; intravenous push, single or initial substance/drug) Day two: 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis [specify substance or drug]; initial, up to 1 hour) and +96361...

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