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Course

Injection and Infusion CPT Coding Part 1: Introduction


Description

In this course, you will delve into the complex world of medical coding for injections and infusions. This comprehensive course provides an in-depth exploration of the terminology, guidelines, and hierarchical rules governing CPT coding for therapeutic, prophylactic, and diagnostic IV infusions and injections, excluding chemotherapy. Participants will learn to distinguish between initial services and subsequent/sequential services, understand the critical importance of start and stop times in coding infusions, and gain insights into the hierarchy of drug administration. Additionally, the course covers the intricacies of coding for hydration and offers valuable examples from Coding Clinic for HCPCS and CPT Assistant to reinforce key concepts.

Included Lessons:

  • Introduction
  • Initial Service
  • Subsequent/Sequential
  • Hierarchy of Drug Administration
  • Injections
  • Infusions
  • Coding Clinic for HCPCS Examples
  • Handouts and Additional Documents
CEUs available for the following credentials:

AHIMA

CCA, CCS, CCS-P, RHIT, RHIA, CDIP, CHDA, CHPS

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Key Takeaways

In this course, we have explored the fundamental terminology, guidelines, and hierarchy of injection and infusion coding, empowering participants with the expertise required to accurately code these intricate medical procedures in accordance with CPT guidelines. The key takeaways of this course include:

  • Understanding of Terminology and Guidelines: Participants will acquire a solid foundation in the terminology, definitions, and guidelines specific to injection and infusion coding, enabling them to accurately interpret and apply these concepts in real-world scenarios.
  • Hierarchical Knowledge: Coders will gain a deep understanding of the hierarchy of drug administration, including the prioritization of different types of injections and infusions. This knowledge is essential for correctly assigning the appropriate CPT codes.
  • Initial vs. Subsequent Services: Participants will be able to distinguish between initial services and subsequent/sequential services, ensuring that they accurately identify the primary reason for the encounter and apply the correct coding rules.
  • Start and Stop Times: Coders will learn the critical importance of start and stop times in coding infusions, ensuring that they can accurately report these services when they meet the necessary criteria.
  • Hydration Coding: The course will provide a comprehensive understanding of hydration coding, including when it is reportable, its relationship to therapeutic infusions, and the specific criteria that must be met.
  • Coding Clinic References: Participants will be familiarized with the use of Coding Clinic for HCPCS and CPT Assistant references, allowing them to access valuable guidance and examples when faced with complex coding scenarios.
  • Exclusion of Chemotherapy: While this course primarily focuses on non-chemotherapy infusions and injections, participants will gain a foundation for understanding chemotherapy coding, which can be further explored in subsequent parts of the course.
  • Scenario-Based Learning: Throughout the course, participants will engage in practical, scenario-based learning exercises to apply the concepts they've learned, ensuring they can confidently code real-world cases.

Benefits of Taking this Course

  • Enhanced Coding Accuracy
  • Improved Career Opportunities
  • Compliance with CPT Guidelines
  • Confidence in Complex Cases
  • Up-to-Date Coding Knowledge
  • Understanding of Injections and Infusions

FAQs

What is the hierarchy of drug administration?
The hierarchy, from highest to lowest, is chemotherapy infusions, chemotherapy injections, non-chemotherapy therapeutic infusions, non-chemotherapy therapeutic injections, and hydration.
What are the coding rules for injections vs. infusions?

Injections are one-shot medications, while infusions are administered over time with start and stop times.

Where can I find start and stop times for infusions?

Start and stop times for infusions can usually be found in the medication administration record (MAR).

About our Medical Coding Courses

HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPT, E/M, ICD-10-CM, ICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatient, outpatient, profee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CM, ICD-10-PCS, CPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams. 

Disclaimer: This course is not available for individual sale. Purchase the CPT Coding Training Plan below and get access to 46 total CEUs. 

Overview
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AHIMA CEUs : 1
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