Saline TKO

[Aaron33]

We have always billed saline to TKO and just found out it inclusive to the treatment and cannot bill. However, we have never been denied on it. Can anyone tell me if its wrong why its never been denied before?

[mjm41795]

Check the guidelines before the chemotherapy admin. codes. Any supplies, fluids, heparin are considered incidental and not separately reportable if used as part of the delivery vehicle. They are considered bundled from what I have heard.

[mitchellde]

Originally Posted by erin30

We have always billed saline to TKO and just found out it inclusive to the treatment and cannot bill. However, we have never been denied on it. Can anyone tell me if its wrong why its never been denied before?

exactly how were you billing? and what dx code were you linking it to?

[Aaron33]

We were only billing for TKO and if it was ran with drugs other than chemo. It was linked to all the codes we used, for example: V58.11 and 174.9.

[mitchellde]

The saline is only for convenience to keep the vein open and therefore is not billable.