Results 1 to 7 of 7

hydration infusion

  1. #1
    Default hydration infusion
    Medical Coding Books
    A pt with chronic kidney disease and breast cancer is being treated with chemo and radiation. Prior to the radiation treatment, the pt receives an hour of saline infusion to protect the kidneys. After the radiation the pt receives another hour of saline infusion to help flush out the contrast. Is this a billable encounter? Can it be covered in the infusion center with a 96360 or 96361. Also perhaps using a kidney disease ICD-9 code. Very much appreciate your assistance with this question.

  2. Default
    Yes, you can bill for the hydration and the hydration time as long as the fluids didn't run at the same time as the chemo. You would use 96361 with a modifier 59. In this case since it was for two hours you would use 96361/59 x 2 units for the 2 hours. I am not totally sure about the dx code but I HAVE used renal insufficieny codes and the ca code plus v58.69, and have used the cancer encounter code primary-v58.11 or v58.12, then the ca code just all depends on the situation. But yes, I would think that a kidney problem would definitly show medical necessity for hydration.

    Amanda, CPC
    Urology coder

  3. #3
    Bettendorf, Iowa
    I agree with AmandaW. You can bill for both hrs of hydration 96361,59 x2. We use the appropriate 276.xx along with the appropriate primary dx
    Ruth Long CPC,CHONC

  4. #4
    Default hydration
    At a recent seminar it was stated that the facility cannot bill for hydration when a person with kidney disease comes in for hydration before and after a scheduled CT scan. In the example they come to the infusion center for hydration to protect their kidneys before they have a scheduled CT scan. Is it billable or why not. Thank you in advance

  5. Default
    Why would you use V58.69?

  6. #6
    From what I understand, doing a flush doesn't count as hydration unless clearly stated. We have patients who have a flush all the time in between or after drugs, but it isn't considered hydration, so it isn't billed.

  7. Default Billing 96365 due to kidney disease
    If a ct was done & then 500 ml normal saline flush was given due to kidney disease, can we bill 96365 & j7040?

Similar Threads

  1. infusion/hydration
    By JYSPA in forum Emergency Department
    Replies: 9
    Last Post: 05-23-2018, 11:46 AM
  2. Infusion and hydration
    By erjones147 in forum Family Practice
    Replies: 3
    Last Post: 07-18-2014, 08:53 AM
  3. infusion or hydration
    By tuffy1 in forum Emergency Department
    Replies: 53
    Last Post: 09-27-2013, 08:47 PM
  4. infusion vs hydration?
    By lorraine crumpler in forum Emergency Department
    Replies: 1
    Last Post: 04-19-2012, 12:05 AM
  5. Hydration Infusion
    By NESmith in forum Family Practice
    Replies: 7
    Last Post: 06-29-2011, 06:43 AM

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.