tci ED Coding & Reimbursement Alert - 2003 Issue 12

Reader Question: Pay Attention to Detail With Infusion Coding

Question: A patient presents with an allergic reaction that resulted in throat swelling, pain and difficulty swallowing, along with wheezing. The doctor ordered an infusion session using Solu-Medrol. The entire infusion procedure took 95 minutes. How should I report this visit?Oklahoma Subscriber  Answer: Report 787.2 (Dysphagia; Difficulty in swallowing) and 786.07 (Wheezing) for the throat swelling and trouble breathing The Solu-Medrol session lasted more than an hour, and that must be reflected in the coding, so report 90780 Intravenous infusion for therapy/diagnosis, administered by physician or under direct supervision of physician; up to one hour) and ...

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