Wiki IV billing in an Office setting

[kimgreen]

Hi all!

My office does surgeries from POS 11, we are not surgery center. Can we bill for the IV for fluids and/or drugs that are being adminstered?

Thanks in advance!
Kim

 

[SharonCollachi]

In an office setting, you can bill for everything you do, because there is no facility to bill the supplies. You can bill for fluoro guidance if you are paying "the fluoro guy" as we called him, you can bill for contrast, injectable medications, moderate sedation (and medications).

 

[thomas7331]

I'd just add that IV fluids administered during surgeries are considered incidental to the procedure. You may bill for the drugs, but the administration is not separately payable unless it is unrelated to the procedure and the documentation supports the use of a modifier to unbundle it.

 

[fwnewbie]

I thought you billed for the infusion which would capture the IV catheter, tubing, dressing and the work to start the IV. And if the IV is needed to give IV drugs for sedation, etc, how else would you show the administration without the IV infusion?

 

[SharonCollachi]

And if the IV is needed to give IV drugs for sedation, etc, how else would you show the administration without the IV infusion?

Because codes like Moderate Sedation 99151-99153, includes the administration. With moderate sedation, you also bill the drugs that you are using.

The OP didn't say what they were using an IV for, so that's the way I answered. Yes, you can bill for supplies in an office. Now, depending on what the supplies are for, they may not be separately payable.

 

[fwnewbie]

I totally agree.