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Concurrent Infusion

  1. Default Concurrent Infusion
    Medical Coding Books
    Could someone help me how to code hydration given concurrently with IVP's. Are we going to deduct all IVP's given concurrently w/ hydration? Example:

    Hydration: 13:15 to 16:30

    IVP (1): 14:15 to 14:35

    IVP (2): 15:15 to 15:35

  2. #2
    Default
    Quote Originally Posted by 042693 View Post
    Could someone help me how to code hydration given concurrently with IVP's. Are we going to deduct all IVP's given concurrently w/ hydration? Example:

    Hydration: 13:15 to 16:30

    IVP (1): 14:15 to 14:35

    IVP (2): 15:15 to 15:35
    96374 IVP single or inital substance
    96375 each additonal IVP of new Drug (assuming your 2nd drug is differant than 1st)
    96361 X3 each additional hour of Hydration it ran for 3 full hours

  3. Default
    We only subtract out when hydration is running at the same time as an IVPB.

  4. Default
    Quote Originally Posted by DoDCoder4You View Post
    96374 IVP single or inital substance
    96375 each additonal IVP of new Drug (assuming your 2nd drug is differant than 1st)
    96361 X3 each additional hour of Hydration it ran for 3 full hours
    Thank you. Could you please tell me where I could find the guideline on this? I just need to present a valid proof that I was coding it correctly. Thanks for your help.

  5. #5
    Default
    In your CPT book it gives you the Description of each

    And this is a Article with a quick run down of Infusion & Injections

    http://www.hcpro.com/HOM-249155-8160...on-coding.html



    And there is a Clip from AHIMA PDF File Slide that gives the Hierarchy.
    I belive if you scroll down to page 56 you will see it.
    http://campus.ahima.org/audio/2009/RB120309.pdf

  6. #6
    Default
    I have to disagree with the above, because,

    A) an IVP that is documented to take longer than 15 minutes, becomes, by definition, a therapeutic infusion.

    B) hydration has the LOWEST priority in the hierarchy of the procedures given here, so it only "counts" during those times when the other 2 infusions are not taking place. So in this example it would only be the first hour, since the time at the end is only 55 minutes.

  7. #7
    Default
    Yes over 15 mins is Considered Infusion, i calculated the time wrong.
    So change the 96374 & 75 to 96365 & 96365

    And yes the Hydration is the lowest, Which is why i listed it last,
    but there is more than 55 mins there.

    From 13:15 to 14:15 is 1 hour
    From 14:35 to 15:15 is 40 mins
    and 15:35 to 16:30 is 50 mins

    You can count the Times before, Inbetween and After

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