Total Parenteral Nutrition (TPN) is the administration of nutrients to a patient through a central line, when the patient is unable to receive a sufficient amount of nutrients by eating or is unable to receive nutrients orally.
Many home health care plans for TPN patients include orders for lab draws as well as the administration of the nutrient rich solution. In order to accurately capture the skilled interventions provided by SN, the coder should list the following for TPN patients when applicable:
V58.81 Attn Vascular Catheter (captures the care of the venous line and administration)
V58.83 Drug Monitoring (lab draws)
V58.69 LT Current Drug Use (Nutrient rich solution drug)
PPS OASIS item: M1030 Therapies the patient receives at home should be marked as 2-Parenteral Nutrition (TPN or liquids)
