Pediatric Coding Alert

Reader Question:

Include Pain Meds in E/M

Question: Is there a code that I can use for the administration of Tylenol or Motrin? The only code that I have found for oral medication administration is H0033. Is it appropriate to use the code in this context?

Answer: No, you instead should consider the administration of the oral drug included in the related E/M service (such as 99201-99215, Office or Other Outpatient Visit).

H0033 (Oral medication administration, direct observation) is in the alcohol and drug abuse treatment services. Some private health insurers are using the code for reporting buprenorphine treatment services, such as giving the patient an opioid medication to treat opioid addiction in the privacy of a physician’s office.