Pediatric Coding Alert
Tylenol Administration Isn't Separately Billable
Question: Our physician saw a patient with a fever—he had her take Tylenol orally, then had her wait in the office to see if her fever went down. Is there a code that I can use for the administration of Tylenol or Motrin in this situation? The only code that I have found for oral medication administration is H0033.
Codify Subscriber
Answer: No, you instead should include the administration of the oral drug in the related E/M service (such as 99201-99215,Office or other outpatient visit).
HCPCS code 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.
Related Articles
Pediatric Coding Alert
- Is Your Newborn Care Documentation Missing This One Crucial Factor?
Scrutinize the notes for discrepancies before selecting your code. Although you might have CPT® code [...] - Compliance:
3 Recent Cases Show Pediatric Fraud Vulnerabilities
Tighten up your practice’s compliance plan to ensure audit success. State Medicaid providers have stepped [...] - ICD-10:
Your Top 3 ICD-10 Questions-Answered
Hint: Keep on using your modifiers the same way after Oct. 1 With the ICD-10 [...] - Billing:
These 6 Tips Will Transform Your Accounts Receivables
Coordinate back office and front desk staff to keep cash flow positive. You know you’re [...] - You Be the Coder:
Heed Insurer Preference on New Patients
Question: If a provider of a different specialty within the same group sees the same patient [...] - Reader Questions:
'No Charge' Visits Still Count Toward Established Patient Status
Question: Our pediatrician saw a patient during a quick assessment last year at no charge. The [...] - Reader Questions:
Tylenol Administration Isn't Separately Billable
Question: Our physician saw a patient with a fever—he had her take Tylenol orally, then had [...] - Reader Questions:
Look to 94780-94781 for Car Seat Testing
Question: We often show patients how to maneuver the car seat and recently heard this is [...]
