Hydration billing with other infusions

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Cleveland, GA
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Can hydration be billed if it is paused to give another infusion and then restarted again? For example, hydration has been given for 45 minutes. The bag is then paused and Rocephin is given for 30 minutes and then hydration is started again to run for another hour. Everything I have read states hydration has to be before or after an infusion. Any advice on this would be much appreciated.
Thanks!
 

dtricia

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I would ask why the hydration is being given. I have an article from Noridian which states, " It is important to distinguish the medical necessity of hydration from the use of fluid administration intended only to initiate flow or to keep the vein open. When the sole purpose of the IV fluid administration is to establish and /or maintain vascular access or patency of the IV lien, the service is neither diagnostic or therapeutic and must not be separately reported. To qualify as medically necessary hydration, the rate of infusion should support performance of this service for rapid replenishment. Maintenance IV therapy replaces normal sensible and insensible fluid losses, not losses associated with pathological conditions.
 
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