What Code To Use For Ivpb Infusion

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?

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

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!

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

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..

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!

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.

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.