Home » Categories » Drug Administration Coding

Self Administered Drugs Associated with Procedure


Question

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?

Answer

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
Cardioversion
Viewed 482 times since Wed, Apr 20, 2011
Drug Administration
Viewed 256 times since Thu, May 17, 2012
Allowable Units for Drug Administration
Viewed 2305 times since Tue, Nov 16, 2010
Infusion Stop Times
Viewed 1553 times since Tue, Jun 7, 2011
Herceptin
Viewed 2477 times since Wed, Aug 3, 2011
Observation Chart With Edits
Viewed 1385 times since Tue, May 24, 2011
Hydration Infusion
Viewed 1392 times since Wed, Nov 23, 2011
Time Based Coding
Viewed 1214 times since Wed, Aug 22, 2012
Recurring Infusions
Viewed 2142 times since Sat, Jan 15, 2011
Use of Code 96361
Viewed 3886 times since Tue, Nov 16, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506