Wiki Hydration in the ED

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rmbaumann

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I am wondering if anyone can help with a question RE: coding hydration in the ED for a patient that comes in with a migraine with nausea and the doc gives hydration therapy and an IV push of an anti-emetic. We are in a disagreement as to whether or not hydration therapy is appropriate to bill when the doc does not state in his order "IV hydration for nausea" - he simply orders the fluids and an anti-emetic. Any help would be greatly appreciated!!!
 
You should bill a 90774 for the push and a 90761 for the hydration since the patient didn't come in for dehydration.
 
Can these codes be billed by the physician? Or, are these codes billed by the facility only? In addition, I believe the CPT's mentioned are out dated CPT codes.
 
The codes would be 96374 and 96361 and only coded for the facility not physician.
 
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