Hi,
I read a previous post regarding IVs in the ER, but I really didn't feel it answered my question.
We currently have situations in which a patient will be seen in the ER for IV ABX or other meds. Some of these are seen there because the area they would usually go to is closed at the time they come in and others are seen before in the ER and they had some infection in which the ER doc told them to return for a few days of IV ABX.
Most of the time these people are not seen by the ER doc. There are a few times they have been.
Currently we have a procedure room put on the charges to cover the time/room in the ER and the nurse's time doing the IV.
Our billing office is wanting to change this with a new computer conversion we are having soon and as coders, we really aren't sure how it should be handled.
They are wanting us to put in either some E/M level to cover the time/room or another CPT procedure charge to cover what they are doing. As for the CPT code, we are just using 90784/90782 accordingly. I don't know of any E/M level we could/should use, but all I am familiar with is the 9078x ones.
How are others doing this if or what would some of you recommend we do?
Any help much appreciated!!
I read a previous post regarding IVs in the ER, but I really didn't feel it answered my question.
We currently have situations in which a patient will be seen in the ER for IV ABX or other meds. Some of these are seen there because the area they would usually go to is closed at the time they come in and others are seen before in the ER and they had some infection in which the ER doc told them to return for a few days of IV ABX.
Most of the time these people are not seen by the ER doc. There are a few times they have been.
Currently we have a procedure room put on the charges to cover the time/room in the ER and the nurse's time doing the IV.
Our billing office is wanting to change this with a new computer conversion we are having soon and as coders, we really aren't sure how it should be handled.
They are wanting us to put in either some E/M level to cover the time/room or another CPT procedure charge to cover what they are doing. As for the CPT code, we are just using 90784/90782 accordingly. I don't know of any E/M level we could/should use, but all I am familiar with is the 9078x ones.
How are others doing this if or what would some of you recommend we do?
Any help much appreciated!!
