Question Billing for Hydration in Labor Check and Call

Messages
2
Location
Massapequa, NY
Best answers
0
Hello

I have a scenario I need help with.

I have a billing area that's a clinic that sees patients in labor check and call sometimes for things like false labor they are billing CPT 96360 and 96361 when they either bill and E/M or NST. I was removing the iv hydration because I think it should be billed by the facility side but now I'm second guessing myself. Can anymore clarify if I am doing the right thing? I noticied this because it is hitting an edit saying it is bundled to CPT 59025 or e/m service but a modifier is allowed.

thank you
 

kari2007

Networker
Messages
35
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0
If you are doing professional billing and the hydration is taking place somewhere other than your clinic, that facility would bill hydration out on the UB.
 

SharonCollachi

True Blue
Messages
1,169
Location
Clovis, CA
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3
Office care: Provider bills everything.

Hospital, Office-Attached-to-a-hospital (don't even get me started on that nonsense*) or other facility-based care: Provider bills for their work but no supplies.


*personal opinion that office/hospital is a racket to artificially inflate prices and increase income. I have to take my teen to one of these, because it is a specialist that is rare, and my insurance pays something like $400 for what amounts to an office visit, that is the same as any other office visit, and I pay our copay. The office isn't even IN a hospital building, so it's not like there are any other expenses that the regular physician office I work in doesn't have. :mad: /RANT MODE OFF
 
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