ED Coding and Reimbursement Alert

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.
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

ED Coding and Reimbursement Alert

View All