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IV Infusion

  1. #11
    Location
    Greeley, Colorado
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    2,045
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    Medical Coding Books
    The 90774 is an initial code. To get a push paid after an infusion has begun/is coded, you need to use subsequent. "Report 90775 to identify intravenous push of a new substance/drug if provided as a secondary or subsequent service after a different initial service is administered through the same IV access."

  2. Default
    Quote Originally Posted by Lisa Curtis View Post
    The 90774 is an initial code. To get a push paid after an infusion has begun/is coded, you need to use subsequent. "Report 90775 to identify intravenous push of a new substance/drug if provided as a secondary or subsequent service after a different initial service is administered through the same IV access."
    Lisa, what would be your complete code(s)?
    Thanks.
    Last edited by brina; 07-28-2008 at 11:09 AM.

  3. #13
    Location
    Greeley, Colorado
    Posts
    2,045
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    Quote Originally Posted by brina View Post
    Lisa, what would be your complete code(s)?
    Thanks.
    Based on the original question or the follow up question?

  4. Default IV infusion
    i code these as:
    90774 (this is considered the parent code---and the first push)
    90761 x 3

    (i use 90761 because you cannot code two parents code together at the same time, 90760 with 90774-- both are Parents. So i select 90774 for the first push, and per CPT guidelines in the book i then use the 90761 for the "time". .

  5. Default Infusion and hydration
    What codes would you report??? A patient presents to the ED and receives IV hydration for 45 minutes. Following the hydration, the patient also receives a drug infusion of 30 minutes. In 2008, we would have coded 90765 (Drug Inf. Initial hour) and 90761 (each addit hr, hydration). Our FI is saying 90761 would not be appropriate as there is not a total infusion time of greater than 90 minutes. We think these are separate services and the time should not be combined. Any thoughts, references???
    Last edited by arpdavis; 01-09-2009 at 03:10 AM.

  6. Default Infusion and hydration
    Our FI has seen the light for the scenario below. The proper coding is 90765 (for 30 minute drug infusion) and 90761 (for subsequent 45 minutes of hydration).

    What codes would you report??? A patient presents to the ED and receives IV hydration for 45 minutes. Following the hydration, the patient also receives a drug infusion of 30 minutes. In 2008, we would have coded 90765 (Drug Inf. Initial hour) and 90761 (each addit hr, hydration). Our FI is saying 90761 would not be appropriate as there is not a total infusion time of greater than 90 minutes. We think these are separate services and the time should not be combined. Any thoughts, references???

  7. #17
    Location
    Grand Rapids, MI
    Posts
    57
    Default
    Quote Originally Posted by kdw003 View Post
    Can anyone help me figure this out. If patient presents for IV infusion for total of 3 hrs and also had one medication pushed in the IV, what is the correct sequence of codes to use? Thanks for any help
    We administer chemo in an outpatient setting. We would bill as follows:
    Chemo as primary 96413 x 1 hr, 96415 x 2 hr additional, if the push was a chemo drug we would use 96411. If the push is not a chemo drug then you use 96375. Hydration can be given during chemo for dehyrdation 276.51 starting at 31 mins. to 60 mins. 96361 or if they only receive hydration that day, 96360 for 31-60 mins and 96361 for 91 mins or more. Does this make sense? Hope if helps.

  8. #18
    Default
    Quote Originally Posted by abc1099 View Post
    We administer chemo in an outpatient setting. We would bill as follows:
    Chemo as primary 96413 x 1 hr, 96415 x 2 hr additional, if the push was a chemo drug we would use 96411. If the push is not a chemo drug then you use 96375. Hydration can be given during chemo for dehyrdation 276.51 starting at 31 mins. to 60 mins. 96361 or if they only receive hydration that day, 96360 for 31-60 mins and 96361 for 91 mins or more. Does this make sense? Hope if helps.
    What is the IV infusions are two different drugs running concurrently for 2 hours and another chemo push ?
    Would that be coded as 96413, 96417, 96411 ?? Also when coding for chemo do you need to add modifier's to these procedures ?
    Last edited by cpccoder2008; 08-11-2009 at 09:32 AM.

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