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Mastering Injection and Infusion Coding - American Health ...

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<strong>Mastering</strong> <strong>Injection</strong> <strong>and</strong> <strong>Infusion</strong> <strong>Coding</strong><br />

Notes/Comments/Questions<br />

Dates of Service for<br />

Drug Administration Services (cont.)<br />

• Example: Patient comes to the ED on 02-15-<br />

09, <strong>and</strong> hydration is started at 10:00 p.m. It<br />

continues until 6:30AM on 02-16-09. The<br />

patient received an IV push of morphine on<br />

02/15/09 <strong>and</strong> again at 2AM on 02/16/09.<br />

What CPT codes <strong>and</strong> units should be<br />

reported?<br />

96374 x 1 2/15/09<br />

96361 x 2 2/15/09<br />

96361 x 6 2/16/09<br />

96376 x 1 2/16/09<br />

17<br />

Modifier -59<br />

• Modifier -59 is used to:<br />

• Distinguish between the same services (as<br />

reported by HCPCS codes) provided across<br />

multiple encounters on the same date of<br />

service<br />

• Highlight that two vascular access sites<br />

were started <strong>and</strong> each was reported with<br />

an “initial” service CPT code<br />

• Bypass MUE <strong>and</strong> NCCI edits, when<br />

appropriate<br />

18<br />

AHIMA 2009 Audio Seminar Series 9

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