Internal Medicine Coding Alert
Clarification
PDF
In Vol. 11, No. 2 of Internal Medicine Coding Alert, the answer to "You Be the Coder: Choosing Initial Infusion Type" contained inaccurate information.
The "Answer" portion stated that you should report the following codes for the infusion session: 90765 (Intravenous infusion, for therapy, prophylaxis, or diagnosis [specify substance or drug]; initial, up to 1 hour), +90766 (… each additional hour [list separately in addition to code for primary procedure]) and +90767 (... additional sequential infusion, up to 1 hour [list separately in addition to code for primary procedure]).
However, because the initial infusion was for chemotherapy, you should actually report these codes for the encounter:
• 96413 (Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug) for the first hour of chemotherapy
• +96415 (… each additional hour [list separately in addition to code for primary procedure]) for the remaining chemotherapy time
• +90767 for the antibiotic infusion.
Internal Medicine Coding Alert
- Get More Money With 2 PQRI Coding Details
Are you in? Medicare's second reporting period began in JanuaryThanks to PQRI's renewal, you've got [...] - Append Modifiers When Measure Isn't Met
Surprise: 'No action' still counts toward PQRI totalTo successfully participate in the Physician Quality Reporting [...] - Update Your IVIG Codes to Avoid Swimming in Denials
Medicare still pays for immune globulin shots -- under new guidelinesIf you haven't noticed the [...] - You Be The Coder:
Surgery, Biopsy in Separate Areas
Question: The internist destroys an actinic keratotic lesion on a patient's left wrist using laser [...] - Reader Questions:
Zoom In on 'Targets' Before Coding Sedation
Question: An established 64-year-old patient complaining of rectal pain and abdominal cramps reports to the [...] - Reader Questions:
2 Codes Possible on E/M-Urinalysis Claim
Question: The internist performs a level-two E/M for a new patient. The results of the [...] - Reader Questions:
Payers Sometimes Put Wraps on Strapping Codes
Question: An established patient who fell out of his bed while sleeping reports to the [...] - Reader Questions:
E/M Trumps Ventilator Management
Question: I have a tough coding choice to make. The internist performs initial-day ventilation management [...] - Reader Questions:
Deduce Angina Type Before Coding
Question: What is the proper diagnosis code for"angina pectoris"?Missouri SubscriberAnswer: Also known as simply "angina," [...] - Reader Questions:
Test Reason Can Lead You to FOBT Code
Question: A commercially insured patient with rectal bleeding reports to the internist. She obtains [...] - Clarification
In Vol. 11, No. 2 of Internal Medicine Coding Alert, the answer to "You Be [...]