Office Fluoro Contrast Billing
For those of you who do in office fluoro - how do you handle billing for contrast?
Our EMR (ModMed) calculates billing meds by mL used and so 1 mL of Omnipaque-300 is billed ~$0.40. Which is wayyy below cost of Omnipaque.
Does everyone just eat the cost of contrast at a loss or am I missing something with how contrast should be billed?
Our billing team wants to bill by 'unit' and argues 1 mL = 300 units of Omnipaque-300 - this seems incorrect at welcoming an audit nightmare.
Any...
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Source: Student Doctor Network - December 26, 2023 Category: Universities & Medical Training Authors: runfastnow Tags: Pain Medicine Source Type: forums
Multi-use omnipaque vials?
Hey all- are there any version of omnipaque (or similar) that is specifically labeled as “multi-use” and not a “single use” vial? Would be great to not waste so much contrast…. (Source: Student Doctor Network)
Source: Student Doctor Network - September 1, 2022 Category: Universities & Medical Training Authors: tmvguy03 Tags: Pain Medicine Source Type: forums
Diluting Omnipaque?
Any of you been diluting Omnipaque for in-office use? We can only get 350mg/mL bottles and are tossing the idea around of diluting (Source: Student Doctor Network)
Source: Student Doctor Network - August 31, 2022 Category: Universities & Medical Training Authors: GlowInTheDark Tags: Pain Medicine Source Type: forums
Midazolam unavailable until September 2022?
New medication shortage; Midazolam.
Can't obtain;
Omnipaque
Ropivicaine
Dextrose
Midazolam (Source: Student Doctor Network)
Source: Student Doctor Network - August 25, 2022 Category: Universities & Medical Training Authors: Ligament Tags: Pain Medicine Source Type: forums
Visipaque
never heard of this.
the vendors are 'suggesting" this.
Isovue/omnipaque isnt available but this is available.
any experience with this? Anything anyone can say? the reps wont tell me much which is terrible! they just say nthing can be used intrathecal, isovue, this, omnipaque,etc... (Source: Student Doctor Network)
Source: Student Doctor Network - August 4, 2022 Category: Universities & Medical Training Authors: PinchandBurn Tags: Pain Medicine Source Type: forums
omnipaque concentration for procedures
i've been using omnipaque 300 or 240 for procedures. currently those are out of stock, but i can get 180. any downside to using 180?
from what i gather 140 and 350 can't be used intrathecal, but rest are ok. i'm assuming visualization is also ok with other concentrations? (Source: Student Doctor Network)
Source: Student Doctor Network - August 3, 2022 Category: Universities & Medical Training Authors: TIVAndy Tags: Pain Medicine Source Type: forums
Omnipaque 2.0
Thought I would share our current Omnipaque Strategy:
Hospital pharmacy takes a 50 ml vial and divides it into 25 2 ml doses in separate syringes. This is done under their hood (they already do this with certain specialty meds)
These doses are packaged, dated together in a dated bag, and refrigerated for a 10 day life span
when my day surgery team tees things up they pull one dose per pt that a.m.. If I need more than 2ml they can borrow from a later case and grab a replacement from the...
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Source: Student Doctor Network - June 10, 2022 Category: Universities & Medical Training Authors: macman Tags: Pain Medicine Source Type: forums
The dirtiest most humiliating thing you'd do for a bottle of Omnipaque?
Asking for a friend... (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Omnipaque shortage
Anyone with any insight to this? Expected shortages 6-8 weeks. My affiliated hospitals are cancelling elective imaging with contrast. (Source: Student Doctor Network)
Source: Student Doctor Network - May 8, 2022 Category: Universities & Medical Training Authors: Crybaby Tags: Pain Medicine Source Type: forums
Contrast questions
Hope all is well. Had a few questions I could not find definitive answers to (probably because there are none) but was hoping for some guidance.
1.) Do some of you use Gadolinium for ESI's (CESI, TFESI, LESI) etc? If so what are your thoughts on case reports of inadvertent intrathecal injection and death?
2.) If someone has anaphylaxis to shellfish are you avoiding omnipaque or are you using a steroid prep?
Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - December 11, 2020 Category: Universities & Medical Training Authors: jwalker12 Tags: Pain Medicine Source Type: forums
your luck on getting supplies paid
Just want to get a quick survey of what everyone has been getting paid for these commonly used supplies (if any).
J1030 Depomedrol 40mg
J2001 Lidocaine 10mg, 100mg, 300mg
J3490 Bupivacaine 0.25%, 10ml
J1100 Dexamethasone, per mg
J1885 Toradol, per 15mg
Q9966 Omnipaque 240, per ml
J2250 Versed, per mg
J3010 Fentanyl, per 100mcg
A4215 Spinal needle
A4209 Syringe & Needle,...
your luck on getting supplies paid (Source: Student Doctor Network)
Source: Student Doctor Network - July 7, 2016 Category: Universities & Medical Training Authors: drpainfree Source Type: forums
