Coding and Billing for Injections & Infusions: 2012

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, May 10, 2012
90 Minutes
Product Description

You Can’t Afford To Miss Out On This Information Packed Session, If:

If you are a nursing staff, clinical staff, coding, billing, and reimbursement personnel, and are involved with injections, infusions and chemotherapy services, let’s walk you through clinical documentation and the associated charge capture along with possible coding through charge capture.  

Duane will also discuss compliance issues relative to charging and billing including the ED and observation services.

It is a jam packed session where you learn:  

  • To review the CPT coding logic for injections, infusion therapy and chemotherapy and changes made for CY2007-CY2012.
  • To discuss the documentation that is need to justify drug reporting and the administration of drugs, both clinically and for proper reimbursement.
  • To identify key policy and procedure elements in the use of the injection and infusion CPT codes.
  • To appreciate different approaches for charge capture and associated coding and billing through charge capture.
  • To understand the potential reimbursement for injections and infusion therapy under APCs.
  • To appreciate the operational difficulties for hospitals to capture charges for injections and infusion therapy.
  • To delineate the policy and procedure decisions that must be made relative to injections, infusion therapy and chemotherapy.
  • To explore related issues such as ‘integral-part’ and ‘not to be reported separately’ compliance guidance from CPT and CMS.
  • To address injection and infusion coding guidance as found in the NCCI coding policies.
  • To appreciate coding injections and infusions in observation


  •  Overview

            a.    Injections
            b.    Hydration
            c.    Infusion Therapy
            d.    Chemotherapy
            e.    Changes for CY2007-CY2012

  •  Documentation of Drug Administration

           a.    What Must Be Reported
           b.    Drug Administration Documentation
           c.    Drug Wastage and Disposal
           d.    Special Requirements for Observation

  •  Charging/Coding/Billing Issues

          a.    Capturing Charges
          b.    Coding Through Charge Capture and the Chargemaster
          c.    Alternative Approach for Charge Capture and Coding
          d.    Reimbursement Potential

  • Review of CPT Coding Logic

         a.    CPT Coding Structure
         b.    Logic Embedded in CPT Codes
         c.    CPT Coding Guidance
                 i.    Hospital Coding - Hierarchy
                 ii.    Physician Coding – Initial, Subsequent, Sequential

  • Compliance Issues

           a.    Start and Stop Time Reporting for Infusions
           b.    Charging versus Reporting versus Bundling
           c.    NCCI Edit Coding Guidelines
           d.    Injections and Infusions in the ED
           e.    Injections and Infusions In Observation

  •  Case Studies and Exercises
  •  Developing Special Training for Service Area Personnel
  • Sources for Further Information

Who should attend? Nursing Staff, Clinical Service Area Staff, Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Case Managers, Physicians and Other Interested Personnel.

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
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