What Code To Use For Ivpb Infusion

BinkieRN, BSN, RN · Sep 9, 2008

Hello this is more of a billing related question in regards to the choice of codes to use for billing IV infusions-is it correct to use cpt code 90767-for
ROCEPHIN 1GM UP ivpb over 20 minutes if at 17:45pm they hung 1000 cc ns wide open, then zofran slow ivp (recorded at 17.45pm also) then at 18:54 they put up the rocephin IVPB over 20 ,minutes. I would say the intitial service is 90774 iv push of zofran. I chose the following codes. 90774 90767 (iv piggy back) and 90761 as the total time of infusion was 122 minutes and patient was dehydrated. Am I correct why/why not? *(can anyone help me out with these-I have to check them for work and I get completely confused!) TIA carka1:crying2:

Sorry, you have got me completely confused, I have no idea to what you are referring to?

CARKA1 · Sep 9, 2008

HELLO, Sorry for the confusion. I do the coding for urgent care for which we do many infusions. I guess what I am driving at is what are the correct code choices for a particular scenario. If NS hung and infusing starting at 17:45 and 69 minutes later while first is still infusing they hung IVPG 1 gm rocephin over 30 minutes. I was wondering which codes I need to use to report the service. I was hoping someone was saavy with codes. The service used Medi-links and it is very hard to decipher and sometimes the documentation is poor. Have I made it any clearer or easier to understand? TIA, KARYN

vlntrnurs · Sep 10, 2008

Hi

You may want to try the American Academy of Professional Coders (AAPC) forum or the American Health Information Management Association (AHIMA) forum.

http://www.aapc.com/memberarea/forums/index.php

http://health.groups.yahoo.com/group/CRN-L/

Are you part of any of those organizations? They have forums where members can ask any questions regarding coding and medical reimbursement.

Hope this helps!

vlntrnurs · Sep 10, 2008

Are you using the HCPCS code book or CPT code book?

CARKA1 · Sep 10, 2008

yes, I am a member of the AAPC. I will check. I was hoping since the nurse's do the infusions that I maybe able to find my answer here. Thank you! CARKA1..

vlntrnurs · Sep 10, 2008

You can find more information from the American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA), American Medical Billing Association (AMBA), RN-coder.com, and American Association of Clinical Coders and Auditors (AACCA) websites.

Check out their forums too!

vlntrnurs · Sep 10, 2008

This what you've got:

90774 is for the Therapeutic, prophylactic, or diagnostic injection; IV push, single or initial substance/drug

90767 is the add on code for the IV infusion for therapy, prophylaxis, or diagnosis; additional sequential infusion, up to 1 hour.

90761 is the add on code for the IV infusion, hydration; each additional hour.

Have you checked this with another coder?

I'd like to know if this is correct too. I haven't seen the entire chart, but from what was described in the first post, the codes follow the description.

CARKA1 · Sep 10, 2008

hi! great that is what I had. I will run it by another pair of eyes. I guess my question would have been better stated if I had said, Is the IVPB considered concurrent infusion-but then I was reading into and I do believe that the concurrent all need to be going at the same time or in the same bag (yes?) so then I said well 90767 seems like the appropriate choice. I will get back to you to let you know if we were right.