Health Information Management

Tip of the week: Postop pain/nausea medication, antibiotics generally not separately billable

APCs Insider, July 25, 2008

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In 2006, CMS posted a Q&A document clarifying the appropriateness of billing separately for postop pain medications and other postop recovery services. Click here for details.

In general, payment for an outpatient procedure includes postprocedure recovery services and associated pain management treatments.

If a problem not related to the surgery anesthesia or pain management occurs, you may bill for the administration of IVs and injections separately. You could do so under revenue code 761 as long as documentation supports a separate charge for this service.

(This tip was borrowed from APC Answer Letter. To view the entire tip, click here.)



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