Confusion about code C8952: Audit for compliance
Health Care Auditing Strategies, April 1, 2006
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If a patient receives two IV pushes of the same drug 20 minutes apart, should you charge for each?
Chances are that your facility's charging or coding staff have seen different answers to this question during the past few months and may be confused by information provided by CMS and local FIs.
The confusion stems back to how providers have traditionally reported drug pushes, statements made by CMS in the 2006 Outpatient Prospective Payment System (OPPS) Final Rule, instructions released in CMS Transmittal 785, and CMS's official description of the new HCPCS C code C8952.
Providers must review all of this information to fully understand the confusion and reasons why different FIs have provided different answers. Given the confusion about this issue, providers should consider auditing for the correct use of C8952 (therapeutic, prophylactic, or diagnostic injection; intravenous push).
This is an excerpt from a member only article. To read the article in its entirety, please login.
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