As reimbursement decreases on services and drugs, it is important that providers are reporting all of the services that are payable to realize the maximum reimbursement for what they are performing. To do that, staff has to understand the complex coding of these infusions and injections. This type of reporting is frequently based on the time in which that patient is receiving treatment, with additional codes to be reported for different drugs, prophylactic circumstances and different methods of delivering the treatments along with reporting the drugs administered based on the dosage given. There is also a method to report discarded drugs when it applies, which is important when the provider has purchased the drugs in advance, and need to at the very least, receive their money back on those drugs.
Lynn Anderanin is a nationally recognized expert in orthopedic coding and compliance with over 40 years of experience. She is a Coding Compliance Manager. Lynn frequently speaks on CPT®, ICD-10, and compliance topics, specializing in orthopedic and E/M services.