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Wiki CT with IV Contrast along with hydration

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lauriekniffin

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I need some help please. So a CT of the chest with IV contrast was done. Then after that, hydration was given for 45 minutes. My understanding is that you would not bill for the administration of the IV contrast as it is included with the CT. So my dilemma is coding for the administration of the hydration. Would I use the initial code 96360 or the secondary code 96361? I have tried it both ways and have gotten denials from BCBS for both ways. I have tried 96360-59 and I have tried 96361-59 and I have also tried 96361 without a modifier. Nothing seems to work. Can anyone tell me what I am doing wrong?
 
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