Charge TPN in Observation status

djglenn1@att.netdjglenn1@att.net
in BILLING AND CLAIMS

My Nurse Audit team is having an internal discussion related to the ability to charge TPN (Total Parenteral Nutrition) as an IV Infusion with cpt 96365 and 96366. The arguments are FOR because it is a "therapeutic" nutritional infusion, and AGAINST because TPN components are not considered drugs and also because we do not charge for the administration of a G-tube feeding which is also a nutritional product.

Can anyone tell me whether or not your revenue cycle/nurse audit/billing team charges TPN administration as an IV infusion?

Thank you,

Debbie Glenn, Manager Nurse Audit Team, Kettering Health

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