CarolLR
Networker
Just to set the scene, I am in Primary Care, not chemotherapy.
My doc frequently administers Rocephin and Depo Medrol, but does not like to give a direct injection (too painful for the patient, he says) so he does it via IV.
Here's an example:
Patient comes in for pneumonia. Doc says give Rocephin. The nurse takes a bag of saline, puts the Rocephin in the bag via injection, then puts an IV line in the patient and runs the bag of saline/Rocephin.
For a very long time, this has been billed as:
OV
96365 Infusion
J7050 Saline
J0696 Rocephin
I am now being told we should also have been billing 96374 IV Push. My nurse does not believe a "Push" is taking place in this scenario. She defines a "Push" as the pushing of a medication directly into the vein via the IV tubing. I am being told a "Push" also can be defined as the pushing of the medication into the saline bag? Does anyone have any documentation clarifying this?
If I can bill for a push in addition to the other services, this would help us financially. My doc does a LOT of these.
Thanks in advance for your help!
My doc frequently administers Rocephin and Depo Medrol, but does not like to give a direct injection (too painful for the patient, he says) so he does it via IV.
Here's an example:
Patient comes in for pneumonia. Doc says give Rocephin. The nurse takes a bag of saline, puts the Rocephin in the bag via injection, then puts an IV line in the patient and runs the bag of saline/Rocephin.
For a very long time, this has been billed as:
OV
96365 Infusion
J7050 Saline
J0696 Rocephin
I am now being told we should also have been billing 96374 IV Push. My nurse does not believe a "Push" is taking place in this scenario. She defines a "Push" as the pushing of a medication directly into the vein via the IV tubing. I am being told a "Push" also can be defined as the pushing of the medication into the saline bag? Does anyone have any documentation clarifying this?
If I can bill for a push in addition to the other services, this would help us financially. My doc does a LOT of these.
Thanks in advance for your help!