I agree with you that there needs to be a clinical reason, however look at the rate the fluids are running at, that will tell you if it is for hydration and not just for convenience. If the chart documentation does not support the code then I do not charge it, so if the rate is keep open or not therapeutic then it cannot be for hydration. I have always been told that therapeutic rate is 125cc/hr. Just ask you docs what a therapeutic rate is for adults and children.
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