tci ED Coding & Reimbursement Alert - 2017 Issue 4

Reader Question: Make Sure it is a Physician Service Before Reporting 90784

Report 90784 for ED InjectionsQuestion: When emergency physicians order antibiotics, cardiac drugs, Benadryl for allergic reactions, and pain medications that can be considered diagnostic or therapeutic, is it appropriate to bill for these drugs with 90784? The hospital supplies the medications in the ED, but there does not seem to be any stated or implied requirement that the physician ordering the drugs be the purchaser of the drugs. Kansas Subscriber Answer: In the emergency department setting, the hospital is supplying the medications and the nurses typically perform the injections. Since the incident-to provision does not apply in the emergency...

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