ED Coding and Reimbursement Alert
Make Sure it is a Physician Service Before Reporting 90784
Report 90784 for ED Injections Kansas Subscriber Answer: In the emergency department setting, the hospital is supplying the medications and the nurses typically perform the injections. Since the incident-to provision does not apply in the emergency department the injections are typically not reportable. So the professional billing would be for the drug administration only, because that is the service the emergency physician is providing. On the professional side, you would report the injections separately using CPT® code 96374 (Therapeutic, prophylactic or diagnostic injection [specify substance or drug]; intravenous push single or initial substance/drug). In fact CPT® states: "These codes are not intended to be reported by the physician in a facility setting."
Question: When emergency physicians order antibiotics, cardiac drugs, Benadryl for allergic reactions, and pain medications that can be considered diagnostic or therapeutic, is it appropriate to bill for these drugs with 90784? The hospital supplies the medications in the ED, but there does not seem to be any stated or implied requirement that the physician ordering the drugs be the purchaser of the drugs.
ED Coding and Reimbursement Alert
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Make Sure it is a Physician Service Before Reporting 90784
Report 90784 for ED Injections
Question: When emergency physicians order antibiotics, cardiac drugs, Benadryl for [...]
