tci ED Coding & Reimbursement Alert - 2005 Issue 11

READER QUESTIONS: Check NCCI Edits for Infusion Rules

Question: Can we report both IV access and infusion in the same ED encounter, or is that unbundling?Florida Subscriber Answer:  According to the National Correct Coding Initiative (NCCI) edits, you shouldn't report 36000 (Introduction of needle or intracatheter, vein) with an infusion code, such as 90780 (Intravenous infusion for therapy/diagnosis, administered by a physician or under direct supervision of a physician; up to one hour). You should only bill one code--typically the infusion code. ...

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