tci ED Coding & Reimbursement Alert - 2001 Issue 10

Confusion With Infusion: Get Paid For 90780

Not all CPT definitions apply equally to the ED setting. What may be appropriate for private-practice physicians doesnt always work in an emergency. One prime example of this is coding for infusions in the ED.  ED coders struggle over what code to use for IV infusion therapy because Medicare considers what appears to be the obvious choice, 90780, a Part A service only. This policy throws coders off because it seems to counter the emphasis CPT places on the role of the physician in its definition of 90780 (IV infusion for therapy/diagnosis, administered by or under direct supervision...

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