Charge Audit Tip

How to correctly charge injections and infusions when a bolus is given and immediately followed by an infusion.

If a substance was administered via an IVP and immediately followed up with an infusion of the same substance, it is only reported as an infusion (with documented start and stop times) and charging for the IVP push different/new (96375) cannot be reported in addition. If the infusion does not have a documented stop time, it can be down coded to a push. However, IV push of the same drug (96376) can only be assigned if the second injection was given more than 30 minutes after the initial injection.

Please refer to the: Injections and Infusions Tool kit, Comprehensive guide 2012 Edition, page 30.

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