tci ED Coding & Reimbursement Alert - 1999 Issue 7

Correct Coding Strategies to Get Paid for Administration and Monitoring of Thrombolytics

The use of a group of drugs known as thrombolytics (tPA, Streptokinase, Retivase, etc.) are some of an ED physicians most powerful weapons in treating patients who present in the middle of acute myocardial infarctions (MI) or shortly after suffering a stroke.However, coders are often confused about the correct way to report the administration of thrombolytics in the emergency department. Different codes are used depending on the site of action for which the drug is intended, and Medicare does not recognize the physician work component involved, making reimbursement even more tricky. Due to varying payer coverage policies...

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