INFUSION/INJECTION CODING EDUCATION
INFUSION/INJECTION CODING EDUCATION
INJECTION/INFUSION HIERARCHY FOR FACILITY
REPORTING
Chemotherapy Infusion
Chemotherapy IV Push
Chemotherapy Injection
Therapeutic, Prophylactic, or Diagnostic
Infusions
Therapeutic, Prophylactic, or Diagnostic IV
Push
Therapeutic, Prophylactic, or Diagnostic
Injections
Hydration
2
INFUSION/INJECTION DECISION TREE
How was it
given?
How long
did it take?
What did
the patient
receive?
Why is the
patient
here?
3
TIME DOCUMENTATION IS CRITICAL
? Time Documentation is Critical
?
Drug administration codes are services that reference time and are ¡°timebased¡± codes
?
Documentation should support the services reported
?
?
?
?
1st Hour
2nd Hour
3rd Hour
Therapeutic Infusions
16-90 minutes
91-150 minutes
151-210 minutes
Hydration
31-90 minutes
91-150 minutes
151-210 minutes
? Best Practice ¨C document ¡°start¡± and ¡°stop¡± times for infusions
?
Noridian Drugs, Biologicals, and Injections Documentation Requirements
indicate:
? Medication Administration Record (MAR) from date(s) of service that
include name of medications(s), dose, route of administration and infusion
start and stop times, if applicable
4
INITIAL SERVICE
? ¡°Initial¡± service is described as ¡°the service that best describes the key
or primary reason for the encounter¡±
? Order of service delivery does not determine what is ¡°initial¡± service
? Hierarchy does not apply to Subcutaneous/Intramuscular injections
? Only one per patient encounter UNLESS:
? Two separate IV sites are medically used/necessary
? Patient returns for a separate and medically necessary and
reasonable encounter on the same day
? These may be reported with two initial services with a modifier -59
(XE) on the second IV or second encounter
5
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