Anesthesia Coding Alert

You be the coder:

Determining ketorolac tromethamine injection

Question: How should we bill the procedure and medication for a ketorolac tromethamine injection? Rhode Island Subscriber Answer: Ketorolac tromethamine is available for intravenous or intramuscular administration, so double check your provider's technique before reporting either: • 96372 -- Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular • 96374 -- Intravenous push, single or initial substance/drug. If your physician administered the injection in conjunction with an anesthetic, the injection would be bundled into the routine postoperative care and included in the anesthesia global fee. If, however, you're able to report the injection separately, choose the appropriate procedure code and report the medication with J1885 (Injection, ketorolac tromethamine, per 15 mg). Calculation: Be sure to capture the correct amount of billing units for J1885. The common dosage is 60mg intramuscularly for the initial injection, which equals 4 billing units.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Anesthesia Coding Alert

View All