Oncology & Hematology Coding Alert

250 cc D5W? Watch Your Step

Several payers have guidelines stating you should not report fluids unless you meet specific requirements. (You can search here: www.cms.hhs.gov/mcd/overview.asp.)

Part B MAC First Coast Service Options, for example, has published an article (A48591) stating:

" If the patient receives less than 500 cc of D5W,you always bundle it in the other services billed

" If the patient receives less than 250 cc of normal saline, you always bundle it in the other services billed.

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