Wiki IV infusion and Injections- Initial

[ajm444@gmail.com]

Does an IV blow out /infiltration where another IV site access is restarted in a different area constitute another "initial" (left hand) when there was already an initial (right hand) prior?

 

[beulastella]

Does an IV blow out /infiltration where another IV site access is restarted in a different area constitute another "initial" (left hand) when there was already an initial (right hand) prior?

According to CPT and CMS guidelines for IV infusion and injection coding (96360–96376, 96365–96368):

• The term “initial” refers to the first IV access site that’s used to start the infusion or injection encounter — not each physical IV start.
• Even if the first IV infiltrates or fails, and you must restart the line at a different site, it does not create a new “initial” service.
• You continue to bill the same infusion sequence as a continuation, not as a new “initial.”
• Documentation should note that the IV was restarted due to infiltration, but the same infusion service continues

 

[ajm444@gmail.com]

Thank you!

 

[pamelabenson2015@gmail.com]

Can injection be billed while patient is in hospital setting?