This is always an issue with us also. We only code for hydration if the nurse documents NS or D5 NS over 500cc and the up and down times are clearly documented. I also only code if there is documentation that supports this was needed ie(nausea/vomiting, diarhea, dehydration). Of course NS is given to almost all patients in the ED but you just have to be carefull about the documentation. Always make sure there is a documented up and down time. I know I have trouble explaining to the nurses why this is needed.
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