IV antibiotics

HomeHealthQA@gmail.comHomeHealthQA@gmail.com
edited April 2017 in Oasis General
If you are admitting a patient for IV antibiotics administration, would you code it?
Of course we are coding what the antibiotics are for as primary, but I thought that IV antibiotics code would also be helpful. I have trouble finding a code for short term IV antibiotics administration. Is there one?

Thank you,
Maria

Comments

  • ahcoder911@hotmail.comahcoder911@hotmail.com
    edited April 2017
    Z45.2, Z79.2
  • dseminara@unitednursingservices.comdseminara@unitednursingservices.com
    edited April 2017
    I thought Z79.2 was only long-term antibiotics not short-term. For example, prophy oral antibiotics for UTI.
  • ahcoder911@hotmail.comahcoder911@hotmail.com
    edited April 2017
    It has a qualifier of (current) in the description. It better helps to flesh out what you are doing in there - makes clinical sense with the IV. If someone was just taking short term abx orally, I probably wouldn't bother.
    Z79.2 Long term (current) use of antibiotics
  • DietriTS@ah.orgDietriTS@ah.org
    We opened patient with a physician's written diagnosis of chronic infected pressure ulcer (osteo/diabetic) on an old BKA site but is not currently taking any antibiotics. Our coder is refusing to code infected PU because pt is not taking antibiotics. Coder wants to call this a diabetic ulcer. Your thoughts? Thanks for the feedback!


    -----Original Message-----
    From: Arlynn Hansell [mailto:ahcoder911@hotmail.com]
    Sent: Tuesday, February 21, 2017 10:55 AM
    To: OASIS-L
    Subject: RE: [oasis-l] IV antibiotics

    It has a qualifier of (current) in the description. It better helps to flesh out what you are doing in there - makes clinical sense with the IV. If someone was just taking short term abx orally, I probably wouldn't bother.
    Z79.2 Long term (current) use of antibiotics

    -----Original Message-----
    From: Daria Seminara [mailto:DSeminara@unitednursingservices.com]
    Sent: Tuesday, February 21, 2017 1:52 PM
    To: OASIS-L
    Subject: RE: [oasis-l] IV antibiotics

    I thought Z79.2 was only long-term antibiotics not short-term. For example, prophy oral antibiotics for UTI.

    -----Original Message-----
    From: Arlynn Hansell [mailto:ahcoder911@hotmail.com]
    Sent: Tuesday, February 21, 2017 1:45 PM
    To: OASIS-L
    Subject: RE: [oasis-l] IV antibiotics

    Z45.2, Z79.2

    -----Original Message-----
    From: Home Health QA [mailto:homehealthqa@gmail.com]
    Sent: Tuesday, February 21, 2017 12:52 PM
    To: OASIS-L
    Subject: [oasis-l] IV antibiotics

    If you are admitting a patient for IV antibiotics administration, would you code it?
    Of course we are coding what the antibiotics are for as primary, but I thought that IV antibiotics code would also be helpful. I have trouble finding a code for short term IV antibiotics administration. Is there one?

    Thank you,
    Maria

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  • CoderKCoderK
    Clarify with the physician, I really dislike it when they put PU, diabetic because it's one or the other. Being on a stump, most likely a PU, but you need to get a clarification from the MD and get documentation as to why no antibiotics if infected. That's what I would do.

    Kelly Rasmussen, RN, HCS-D, HCS-O

    -----Original Message-----
    From: Dietrich,Terri [mailto:DietriTS@ah.org]
    Sent: Tuesday, March 14, 2017 6:59 PM
    To: OASIS-L
    Subject: RE: [oasis-l] IV antibiotics

    We opened patient with a physician's written diagnosis of chronic infected pressure ulcer (osteo/diabetic) on an old BKA site but is not currently taking any antibiotics. Our coder is refusing to code infected PU because pt is not taking antibiotics. Coder wants to call this a diabetic ulcer. Your thoughts? Thanks for the feedback!


    -----Original Message-----
    From: Arlynn Hansell [mailto:ahcoder911@hotmail.com]
    Sent: Tuesday, February 21, 2017 10:55 AM
    To: OASIS-L
    Subject: RE: [oasis-l] IV antibiotics

    It has a qualifier of (current) in the description. It better helps to flesh out what you are doing in there - makes clinical sense with the IV. If someone was just taking short term abx orally, I probably wouldn't bother.
    Z79.2 Long term (current) use of antibiotics

    -----Original Message-----
    From: Daria Seminara [mailto:DSeminara@unitednursingservices.com]
    Sent: Tuesday, February 21, 2017 1:52 PM
    To: OASIS-L
    Subject: RE: [oasis-l] IV antibiotics

    I thought Z79.2 was only long-term antibiotics not short-term. For example, prophy oral antibiotics for UTI.

    -----Original Message-----
    From: Arlynn Hansell [mailto:ahcoder911@hotmail.com]
    Sent: Tuesday, February 21, 2017 1:45 PM
    To: OASIS-L
    Subject: RE: [oasis-l] IV antibiotics

    Z45.2, Z79.2

    -----Original Message-----
    From: Home Health QA [mailto:homehealthqa@gmail.com]
    Sent: Tuesday, February 21, 2017 12:52 PM
    To: OASIS-L
    Subject: [oasis-l] IV antibiotics

    If you are admitting a patient for IV antibiotics administration, would you code it?
    Of course we are coding what the antibiotics are for as primary, but I thought that IV antibiotics code would also be helpful. I have trouble finding a code for short term IV antibiotics administration. Is there one?

    Thank you,
    Maria

    ---
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    Confidential
    This transmission is protected by the Electronic Communications Privacy Act, 18 U.S.C. Sections 2510-2521 This email and any attachments are confidential and may also be privileged. It/they are intended to be delivered only to the named addressee(s). If you are not the named recipient, or have otherwise received this communication in error, please notify the sender immediately (by E-Mail or Phone) and do not disclose its contents to any other person, use them for any purpose, or store or copy them in any medium. In no event shall this material be read, used, copied, reproduced, stored or retained by anyone other than the named addressee(s), except with the express consent of the sender. or the named addressee(s). Thank you for your cooperation.

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  • rgalatiotorgalatioto

    Long term of antibiotics used for abx tx >14 days (approx.). Otherwise code active infection, care of vascular access device (if one present). You could also code therapeutic drug level monitoring If you are drawing for vanco trough, etc.
    Make sure you also capture IV infusion in the OASIS.

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