When administering multiple infusions, injections or combinations, only one "initial" service code should be reported for a given date, unless protocol requires that two separate IV sites must be used. Thus, it would not be correct to report two “initial” infusion CPT codes, one for each lumen of the catheter. The double lumen catheter permits intravenous access through a single vascular site. If both lumina of a double lumen catheter are utilized for infusions of different substances or drugs, only one “initial” infusion CPT code may be reported. However, the drug administration coding guidelines in the CPT Manual and in the NCCI Manual note that the services are reported “per IV site.”Īccording to chapter 11 of the NCCI Manual: There are multiple infusion ports in the catheter itself, which allow different medications and substances to be infused through each lumen as if each lumen were a single line. How is this supposed to be reported?Ī: A multi-lumen catheter, like a triple lumen subclavian catheter or a dual-lumen jugular catheter, is considered one IV site, so the reporting of the drug administration services should be based on that concept. When we tried this on a claim, the edits were either saying we needed to append a modifier for one of the initial hours of service or we hit the medically unlikely edit because of too many units. Nursing wants to charge for both lumens as if they were a separate line because they are hanging different medications and fluids through each one. Q: We are having a heated internal discussion regarding reporting drug infusion charges when a multi-lumen catheter is being used.
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