Results 1 to 5 of 5

IVP w/ Hydration

  1. #1
    Default IVP w/ Hydration
    Medical Coding Books
    We were having a discussion in my office in regards to Hydration, in the process of the infusion the Dr. gave an IVP. Would the push of a med (IVP) cancel the charging for the Normal Saline? My thoughts would be to cancel the 96360 and only charge the 96374 with the med administered, is my thinking off???

    Per the CPT "When the fluids are used to administer the drug(s), the administration of the fluid is considered incidental hydration and is not separately reportable."

    Thank you,

  2. #2
    East Stroudsburg, PA
    When I used to bill for the facility, unless the hydration was specicially written for hydration then it is considered incidental to the IVP and the IVP would then cancel out the hydration.

  3. #3
    East Stroudsburg, PA
    Here's a list of rank for infusions/IVP and Hydrations.

    Primary Service (listed by rank)

    Chemo infusions
    Chemo injections
    Non-chemo, therapeutic infusions
    Non-chemo, therapeutic injections
    Hydration infusions

    Here's a link to HCPro explaining it:

    Hope this helps!
    Last edited by becka95; 03-13-2009 at 09:42 AM.

  4. Default ER Hydration and drugs
    Is the same true in the emergency room? The patient has a couple hours of hydration and then a couple of drugs are pushed for gastritis, nausea etc. a few minutes into the hydration start. Also what happens when a drug is IV pushed piggyback. We have some debate going on here regarding this issue and how to code the infusion time. Would it then become a therapeutic infusion? Thanks.....

  5. #5
    East Stroudsburg, PA
    It depends on the purpose of the hydration. Is the purpose to transport the drugs? Hydration from my understanding can only be used alone, and if it's over 30 minutes of hydration infusion. 90761 cannot be reported as a subsequent service to intial service codes 90765, 90774, 96409, 96413 when these are administered through the SAME IV site.

    AMA states that in order to report 90761 as a secondary or subsequent service, the nursing or other clinical staff must provde documentation showing more then 30 minutes of hydration on the patient record.

    The rule remains the same in th ER as it would on the medical floor or ASU or other facility.

Similar Threads

  1. Hydration, IV, IVP.... Help with proper order in certain circumstances
    By in forum Internal Medicine
    Replies: 1
    Last Post: 07-14-2015, 02:34 PM
  2. Ivp
    By vjefcoats in forum Emergency Department
    Replies: 3
    Last Post: 02-28-2015, 06:33 PM
  3. Ivp
    By lolivi in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-21-2011, 01:43 PM
  4. Ivp
    By lolivi in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-21-2011, 01:31 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.