Health Information Management

Bill single unit of 90788 for split dose

APCs Insider, July 22, 2005

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Bill single unit of 90788 for split dose

QUESTION: If a physician orders an intramuscular injection of Gentamycin (160 mg), and one of our nurses administers it in a split 80 mg intramuscular dose, can we assign code 90788 (Intramuscular injection of antibiotic) twice, or once?

ANSWER: Since the physician ordered a single 160 mg injection, we recommend that you bill one unit of 90788. If the physician ordered 160 mg to be titrated in two 80 mg doses, then you could bill two units of 90788.

Your hospital may have a specific physician-approved hospital policy that indicates the circumstances under which a dose is titrated. This policy could specify "If a patient weighs less than X, titrate intramuscular injections over X mg into multiple injections of not more than X mg." In this instance, charge and bill for each intramuscular injection.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular