Awareness : OBC Tips

Administration Charges

Hospitals must report all outpatient drug administration procedures that are not integral to another separately reportable procedure.

Examples of separately reportable drug administration:

  • IV Zofran gave to a patient who complains of nausea
  • IV Lasix gave to a patient with known CHF
  • IM Dilaudid gave to a patient complaining of a migraine

Examples of drug administration that is not separately reportable:

  • IV Benadryl gave per standard protocol before and after a blood transfusion
  • IV started so that contrast can be administered during a CT Scan
  • Pain medication is given to control post-surgical pain

Therapeutic Infusion – a medicated solution infused 16 minutes or longer that is not a hydration solution (see below).  Therapeutic infusions that do not have documentation in the medical record to indicate the length of time the infusion ran can be billed as an IVP.

Hydration Infusion – is defined by CPT relevant to the solution, i.e. D5W, .9 Normal Saline, pre-mixed electrolytes, Lactated Ringers, etc.  Is not reported if performed as a concurrent infusion service.

Sequential Infusion – Report when to hang a different infusate mix (other than hydration) or push a different drug before or after the “initial” procedure. Report once for each different sequential infusate mix or IV push of a different drug.

Concurrent Infusion – multiple drugs hung infusion separately through the same intravenous line at the same time. Report once per encounter regardless of a number of concurrent infusions provided.

IV Push (IVP) – any drug/substance administered 15 minutes or less.

Additional IVPs of a New Substance/Drug – IV pushes of each new substance or drug, not the initial service.

Additional IVPs of the Same Substance/Drug – additional IVP of the same substance/drug where more than 30min has elapsed since the 1st injection of that drug.