Wiki Hydration

[hbarney1]

I need a quick refresher on IV hydration:

Rocephin (IVP)- 15:32=17:58 96365/96366
Sodium Chloride: 15:00-17:58 96361

Since the Sodium Chloride is performed by itself for 30 minutes I am able to add the 96361?

 

[ens555]

IV hydration

You are able to code 96361 because you have 32 minutes; 30 would not do. My answer is based on one IV site.

ens555

 

[thomas7331]

I need a quick refresher on IV hydration:

Rocephin (IVP)- 15:32=17:58 96365/96366
Sodium Chloride: 15:00-17:58 96361

Since the Sodium Chloride is performed by itself for 30 minutes I am able to add the 96361?

Since the length of time exceeds 30 minutes, it meets the requirement for coding 96361, however, I would code this only if there was a separate order for hydration and/or if the documentation supports that the hydration was medically necessary and separate from the service of the infusion. Per CPT instruction, infusion of drugs may "require pre- and/or post-hydration to be given in order to avoid specific toxicities. A minimum time duration of 31 minutes of hydration infusion is required to report the service. However, the hydration codes 96360 or 96361 are not used when the purpose of the intravenous fluid is to "keep open" an IV line prior or subsequent to a therapeutic infusion, or as a free-flowing IV during chemotherapy or other therapeutic infusion."

 

[abhishekrane32@yahoo.com]

Hydration with IVPB same site

Hydration performed concurrently to IVPB is not separately reported so I will go with only 96365 and 96366
Abhishek CCS, CPC