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Hydration in the ED

  1. Post Hydration in the ED
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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!!!

  2. Default
    You should bill a 90774 for the push and a 90761 for the hydration since the patient didn't come in for dehydration.

  3. #3
    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.

  4. #4
    The codes would be 96374 and 96361 and only coded for the facility not physician.

  5. #5
    the hydration is most likely incidental with the push, and yes would bill on facility side.
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

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