Wiki Is Supplemental Oxygen "Prescription Drug Management?"

[koster.kris@yahoo.com]

I'm working on Practicode and have gotten different answers from the Practicode Coaches.

Specifically:

Is giving oxygen by nasal cannula to a patient in the ED count as "Prescription Drug Management" for determining Risk Level?

Is prescribing the patient supplemental oxygen considered "Prescription Drug Management?" For example, the physician documents, "COPD (Nocturnal oxygen desaturation on supplemental oxygen at 1.5-2)" in the Impression, and also documents, "Continue nocturnal oxygen supplementation and daytime as needed" under Plan.

Oxygen is technically a drug according to the FDA. But I can't seem to get a straight answer as to whether it satisfies the "Prescription Drug Management" for calculating Risk.

 

[sls314]

I'm working on Practicode and have gotten different answers from the Practicode Coaches.

Specifically:

Is giving oxygen by nasal cannula to a patient in the ED count as "Prescription Drug Management" for determining Risk Level?

Is prescribing the patient supplemental oxygen considered "Prescription Drug Management?" For example, the physician documents, "COPD (Nocturnal oxygen desaturation on supplemental oxygen at 1.5-2)" in the Impression, and also documents, "Continue nocturnal oxygen supplementation and daytime as needed" under Plan.

Oxygen is technically a drug according to the FDA. But I can't seem to get a straight answer as to whether it satisfies the "Prescription Drug Management" for calculating Risk.

This is somewhat of a grey area, I think, and may be payer dependent.

Novitas says Oxygen "can be" Prescription Drug Management, but Noridian specifically says it is not:

Note - these links are for Office and Other Outpatient Services, not ED, but I'm sharing them as general information:


Novitas:

https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00265304

Noridian:

https://med.noridianmedicare.com/web/jfb/specialties/em/em-top-provider-q-and-a