As soon as the patient receives any drugs via IV pushes, then they become the primary charges as they "trump" over hydration services. You can code the hydration, but only if it is over the 1st hour time limit (this can be only 5 minutes, but over one hour is over one hour whether it be 2 minutes or 45 minutes). You would code the 96374, 96375, and then the 96361 if the hydration went over an hour. There is a hierarchy for injections and infusions and there is a post somewhere in this forum that relates it the the King, Queen, and Jacks in a deck of cards. The hierarchy is:
medication infusions (King)
IV Pushes (Queen)
Chemotherapy also has a hierarchy that is much the same but maybe a little more involved. The hierarchy is mentioned in your CPT coding book right before these codes so just try to go over it again and after a while, it will start to make more and more sense to you. Hang in there! Aside from E&M coding, these were the most difficult for me to understand in the beginning.
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