Ambulatory Coding & Payment Report
Reader Question: Injection During Endoscopy
Question: In addition to using the CPT code for surgical endoscopy, is it appropriate to report 90784 (intravenous injection) and/or 90782 (therapeutic, prophylactic or diagnostic injection [specify material injected]; subcutaneous or intramuscular)?
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Answer: No. Billing the endoscopy code alone is adequate for reimbursement under APCs, because a standard group of component codes is bundled into many of the endoscopy codes. For example, if your facility reports 44363 (small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body), billing for injections (90782-90784) will not be separately reimbursed as they are already components of 44363. Other included procedures in many gastrointestinal endoscopy codes are intravenous injections (36000, 36005 and 36010-36015), venipunctures (36410), IV infusion therapy (90780-90781), and anesthesia
-- You Be the Coder and Reader Questions were answered by Carol Dodd, RHIT, representative for MedQuists Division of Coding and Information Services, a coding, consulting and transcription company in Gibbsboro, N.J.
- Published on 2001-09-01
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