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How to Read the MAR in Epic for Medical Coding (Infusion & IV Push Guide)
 

For many medical coders, the challenge isn't just knowing the CPT hierarchy it's the manual process of extracting billable starts, stops, and pushes from a high-volume medication record. In this guide, we go beyond the basic rules to show you how to navigate the MAR in Epic efficiently. Learn how to identify key documentation markers, distinguish between continuous infusions and intermittent pushes, and streamline your workflow so you can code with precision even in the most complex patient encounters.

CPT Code Rationale

01/04/26

  • 96375: Ketorolac (Toradol) was administered via IV push at 15:33. In this clinical scenario, it is billed as a sequential push of a new medication for the ED services visit.

01/05/26

  • 96375 x2: Two distinct medications were given via IV push: HYDROmorphone (Dilaudid) at 03:20 and gadobutrol (Gadavist) at 21:21. Both are considered IV pushes of new medications.

  • 96372: Enoxaparin (Lovenox) was administered as a subcutaneous injection at 10:05.

01/06/26

  • 96375 x2: LORazepam (Ativan) was given as an IV push at 17:11. Additionally, lacosamide (Vimpat) was started at 19:02; because it lacked a stop time and the note specifies "Must be billed as a IVP," it is coded as an additional IV push of a new medication.

  • 96372: The daily dose of enoxaparin (Lovenox) was given subcutaneously at 10:07.

  • Note: Calcium Gluconate was run at 100 mL/hr, which the record notes is "Keep Vein Open" (KVO) and "No Charge," so hydration codes 96360/96361 are not billed.

01/07/26

  • 96365: Acyclovir (Zovirax) infusion started at 05:07 and stopped at 06:11, totaling 64 minutes (the initial hour).Acyclovir (Zo*

  • 96366 x2: Two additional sessions of acyclovir (Zovirax) were completed: 12:33–13:30 (57 mins) and 20:04–21:04 (60 mins).

  • 96367: Fosphenytoin (Cerebyx) was administered as a sequential infusion of a new medication from 08:29–08:49.

  • 96375 x2: LORazepam (Ativan) was given as an IV push at 04:53. Vancomycin was also administered from 05:10–05:23; per the record note, "13 mins billed as IVP," making this an additional IV push of a new medication.

  • 96376 x3: DexAMETHasone (Decadron) was given three times (03:55, 11:27, and 20:01) as subsequent IV pushes of the same medication.

  • 96372: Lidocaine 1% was given as an injection at 15:00.

01/08/26

  • 96366: Acyclovir (Zovirax) had another infusion session from 03:19–04:20 (61 minutes), billed as a subsequent hour of the same medication.

  • 96376 x2: DexAMETHasone (Decadron) was given at 03:21 and 12:03. These are additional IV pushes of the same medication.

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