Do any of you add "allergic shiners" to diagnoses? I’m having a hard time finding a good diagnosis code for this.
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Billng for drug waste from a MDV if a patient has an allergic reaction
I am looking for some guidance in coding/billing for drug waste due to a patient having an allergic reaction. I am aware that modifier JW is needed for waste from single dose vials, but is it necessary to report waste separately for unused drugs that are discarded from a multi-dose vial?
For example: if a patient is scheduled to receive 140mg of Bendeka, but due to a noticeable reaction the patient only receives 45 mg and the remaining 95 is wasted, how is this reported to still get paid for the remaining 95mg?
Thank you, and I appreciate your help!
Asia
Help with DX for Terminated Procedure & Allergic Reaction
I have a situation where a patient came into the ASC, was okay’d for surgery, prepped, moved to the OR, was given anesthesia, but then had an unexpected allergic reaction to the anesthesia before the procedure got started. The surgeon nixed the procedure, obviously, and documented the reaction ("mild arrhythmia") in the op note. They moved the patient to a recovery suite for monitoring, but no treatment was necessary. I know I need to code for the original DX and the arrhythmia (plus the toxic effects, etc). Am I correct that the original DX should be sequenced first given that no treatment was needed for the allergic reaction?