2022 Coding Essentials for Infusion & Injection Therapy Services

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2022 Coding Essentials for Infusion & Injection Therapy Services

Product Code: DHZCIITS22

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2022 Coding Essentials for Infusion & Injection Therapy Services

Mitigate risks and get paid correctly for infusion and injection services

Is your documentation missing critical start and stop times for infusions? Are there medical necessity issues with your hydration therapy services? Which coding and billing missteps for drug administration are recovery audit contractors (RACs) targeting? These are just a few of the many scenarios that threaten infusion and injection service compliance and revenues nationwide, year after year.

When you’re equipped with the right resource, these high-risk situations are also highly avoidable. 2022 Coding Essentials for Infusion & Injection Therapy Services provides clear-cut guidance through coding for a full range of infusion and injection services in all settings. But it also tackles the recurring issues and challenges that put your payments and compliance at risk, from missing crucial elements in documentation, to confusion surrounding current payer trends.

You get clear explanations, quick tips, answers to FAQs, case examples and other tools to help ensure that you capture — and keep — full, compliant payment for these high-volume services.

Published: December 2021

ISBN: 978-1-63151-302-2

Features and Benefits

  • Updated with the latest coding and documentation information pertaining to infusion and injection therapy services

  • Step-by-step through coding and documentation for infusion and injection services in all care settings

  • Comprehensive — covers a broad range of infusion/injection services, including hydration therapy, drug administration, injections and chemotherapy services, as well as blood collection, transfusions and other procedures; also includes a section on coding for drugs and biologicals

  • Easy-to-understand overviews of coding systems, including ICD-10, modifiers, evaluation and management (E/M) services, medical necessity, local/national coverage determinations, audit targets and other critical topics

  • Sections on specific services include:
    • Descriptions of services with their corresponding current codes (CPT®, HCPCS, revenue center)
    • Explanations of intended code use
    • Documentation requirements
    • Tables displaying time increments for reporting services, where applicable
    • Examples of drugs involved
    • Billing tips

  • Guidance with coding and billing in alignment with the Medicare move to site-neutral payments

  • Case studies, frequently asked questions and examples, updated with new payment changes, to reinforce best practices

  • Chapter with payment tables for physicians and hospitals

  • Special help with common areas of confusion and noncompliance, such as:
    • Documentation related to time, route, site and flushes for timed codes
    • “White bagging” and “brown bagging” drug supplies, including documentation and modifier requirements
    • The impact of smart pumps and other technologies on documentation
    • Comprehensive APC (c-APC), for observation care

CPT® is a registered trademark of the American Medical Association.