hydration

  1. L

    dehydration

    I bill in the urgent care setting and want information of billing of cpt codes of 96360 and 96361. I know that if patient has Iv push or iv infusion of med then 96365 or 96374 would be first to come and 96361 to code is dehydration Do i need the chart note to specify that the patient is...
  2. G

    Physician Infusion Services, CHONC Practice Exam Clarification.

    Hello, I was hoping for clarification on a topic that has me torn as to the true and correct coding method. The below scenario and rationale comes directly from the CHONC Specialty Practice Exam. Prior to this I have previously been taught that we can only bill a IV push as primary to a...
  3. E

    Medicare Denials - Infusion Coding Guidelines

    Recently, Medicare has denied some infusion, injection, and hydration charges on our observation claims due to not having an initial service billed for each date of service on the claim. Our HIM Dept is stumped because we have always followed the coding guidelines that only 1 initial service...
  4. S

    Hydration or Therapeutic Administration Question?

    Hello. I have a question in regards to hydration and infusion coding. Here's the scenario: Patient came into the ED with abdominal pain and had developed nausea and vomiting. The MAR states "Dextrose 5%-0.45% NaCL 1000 mL + 20 mEq KCL Intravenous at 125 ml/hr." Would this be coded as...
  5. G

    Infusion coding help please!

    If a patient is receiving hydration (Normal Saline 500cc) and magnesium is added into the bag, are we able to charge for the both the Magnesium (J3475) and the bag of Normal Saline 500cc (J7040) it was added to? I realize that I can only bill the Therapeutic IV 96365 code, and not hydration...
  6. J

    Medication infusion and hydration billing

    Good evening, I would greatly appreciate any advice on the following topic: In the oncology department some patients receive hydration as well as their medication either due to dehydration, or due to the renal toxicity of the chemo. Hydration is given per the doctor's order. Previously our...
  7. J

    Infusion/hydration question

    Good afternoon, I would greatly appreciate any advice on the following topic: In the oncology department some patients receive hydration as well as their medication either due to dehydration, or due to the renal toxicity of the chemo. Hydration is given per the doctor's order. Previously our...
  8. P

    IV Infusions without site, volume or rate...Can we still charge for them in the ED?

    I know good documentation is required for IV medication administration but sometimes we do not have certain criteria listed. We use EPIC and sometimes certain things are not added in by the nurse such as the volume or rate or site. Can we still charge for IV medication infusions without the...
  9. P

    What are the Requirements to charge for IV Hydration in the ER - Please Help!

    Hello, I have a question as to what is required in order to charge for IV Hydration in the Emergency Room. The CPT books don't really go into depth about either of these questions. It is a 2 part question. 1st Question: We know that we first need a Physician order, Start and Stop Times...
  10. H

    Hydration prior to CT scan??????

    I am wondering if I can code/charge (CPT) for IV hydration prior to a CT scan (with or without contrast) and, if so, whether this is allowed only with specific diagnoses? We are having a hard time finding an exact rule in this regard. I should specify that I am asking with regard to FACILITY...
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