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IV Infusion

  1. Default IV Infusion
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    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

  2. #2
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    Greeley, Colorado
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    Taking a stab at this - assuming the infusion was for hydration:
    90760, 90761 x2, 90775 (for the IV push).

  3. Default
    Thats what I thought but the 90775 denied because it was not a part of primary procedure.

  4. Default
    According to the CPT book "therapeutic, prophylactic, and diagnostic services are primary to hydration services". Therefore, your sequence would be 90774, 90761x3

  5. #5
    Location
    Greeley, Colorado
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    CPT also states "when administering multiple infusions, injections or combinations, only one "initial" service code should be reporteds...The "initial" code that best describes the key or primary reason for the encounter should always be reported irrespective of the order in which the infusions or injections occur. If an injection or infusion is of a subsequent or concurrent nature, even if it is the first such service within that group of services, then a subsequent or concurrent code from the appropriate section should be reported (eg the first IV push given subsequent to an initial one-hour infusion is reported using a susequent IV push code)."

    I think you coded it right and need to appeal with CPT guidelines as above.

    HAPPY 4TH!!

  6. #6
    Location
    Wausau, Wisconsin
    Posts
    5
    Question
    I have a ? my facility is having trouble finding info on adding hydration times. In our ER this happens alot. Here is an example:

    1345-1710 HYdration
    1349-1351 morphine
    1352-1354 toradol
    1355-1357 zofran
    1630-1632 dilaudid

    So between 1357 stop time of zofran and the 1630 start time of dilaudid is 2hr33min of just hydration. After the dilaudid is finished there is 38min of hydration. can these be added to gether to get 90761x3 or should it be 90761x2 not adding that last 38min of hydration?
    Antoinette Milroy, CPC

  7. #7
    Default
    if any additive was given at the beginning hydration, the code range becomes 90765-90779...and saline is not reported

    at least your facility uses start and stop times....wish my facility did this lol

    Quote Originally Posted by milant View Post
    I have a ? my facility is having trouble finding info on adding hydration times. In our ER this happens alot. Here is an example:

    1345-1710 HYdration
    1349-1351 morphine
    1352-1354 toradol
    1355-1357 zofran
    1630-1632 dilaudid

    So between 1357 stop time of zofran and the 1630 start time of dilaudid is 2hr33min of just hydration. After the dilaudid is finished there is 38min of hydration. can these be added to gether to get 90761x3 or should it be 90761x2 not adding that last 38min of hydration?
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  8. Default
    The way we charge in our ER is 90774, 90775X3, 90761X3.

  9. #9
    Default
    I agree with Stevieray. I code for our hospital's ED and this is what I would have coded.

  10. 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
    Quote Originally Posted by Lisa Curtis View Post
    Taking a stab at this - assuming the infusion was for hydration:
    90760, 90761 x2, 90775 (for the IV push).
    Quote Originally Posted by kdw003 View Post
    Thats what I thought but the 90775 denied because it was not a part of primary procedure.
    ? Should you have used the 90774?
    90760,90761x2, 90774, 90775
    I'm still learning so forgive me if I'm reaching, but, the 90775 is an add-on. So it is to be used in conjunction with 90765,90774,96409,96413. If this is the case, then maybe you should have used the 90774 with the 90775.
    Again, still learning.

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