Home » Categories » Drug Administration Coding

Self Administered Drugs Associated with Procedure


The patient received BACTROBAN OINT 22 GM TUBE, MUPIROCIN OINTMENT 22 GM TUBE in our outpatient dept. Patient received an infusion and the physician ordered a dressing change prescribing the above ointment. Should the ointment drop as a 637 rev code or should it be considered intergral to the dressing change?  I guess I need to know does intregral to a procedure only apply in the O.R. or if patient has a procedure in our wound clinic or outpatient dept do we drop self administered drug as a 250 or 637?


This rule does not just apply in the Operating Room.  It also is used in the Emergency Room, i.e.  when an antibiotic ointment is used as part of the laceration repair procedure, it is not considered self-administered.  Medicare, in this case recommends that it be billed under revenue code 270.    How far we should take this rule is difficult to say so you will need to make your own decision.  Most hospitals identify those ointments that are used in the various areas of the hospital where they are associated with a procedure.  They determine if they are mainly used for this purpose and if they are, they will assign these to revenue code 270 in the Chargemaster.  

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Monoclonal Antibodies
Viewed 2750 times since Tue, Dec 21, 2010
Concurrent Infusions Through a Triple Lumen Cath
Viewed 6138 times since Tue, Mar 22, 2011
Supply charges IV Supplies
Viewed 1917 times since Wed, Feb 9, 2011
Viewed 482 times since Wed, Apr 20, 2011
IV Infusion Less Than 16 Minutes
Viewed 1996 times since Tue, Nov 16, 2010
Modifier 59 for Two Infusions
Viewed 4001 times since Tue, Nov 16, 2010
IM Split Dose 2 Charges
Viewed 1734 times since Fri, Oct 21, 2011
Two Injection Charges for a Large Dose of Med
Viewed 2067 times since Wed, Jan 26, 2011
Injection Neupogen
Viewed 3150 times since Wed, Aug 3, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506