Health Information Management

Tip of the week: Follow CCI Guidelines for drug administration related to operative procedures

APCs Insider, February 15, 2008

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Under the integumentary section of the CCI Guidelines, Section J, "General Policy Statements," you can only bill drug administration unrelated to anesthesia, intraoperative care, or postprocedure pain management. The statement applies to hospitals as well. Related services (e.g., anesthesia and postoperative pain) are bundled into payment for the procedure. Your physician should specify the unrelated use of the drug.

From the CCI Guidelines, Chapter I, General Coding Policies:

Under the Outpatient Prospective Payment System (OPPS), drug administration services related to operative procedures are included in the associated procedural HCPCS/CPT codes. Examples of such drug administration services include, but are not limited to, anesthesia (local or other), hydration, and medications such as anxiolytics or antibiotics. Providers should not report HCPCS/CPT codes C8950-C8952, 90772, or 90773 for these services.

(The above tip was excerpted from the February issue of Briefings on APCs).



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