I don't think the diagnosis has to be dehydration in order to charge for hydration as long as there's an order and you can establish medical necessity. However, you cannot charge for hydration if it's TKO (to keep the line open.) Also, hydration has to be 31 minutes or more in order to charge for it. To me it sounds like the codes should be 96365 for the infusion of Phenergan, which would be the primary code because infusions are primary to IVPs. Then there would be a 96375 for the Toradol because it's secondary to the infusion. Then I would charge a 96376 for the IVP of Phenergan because it's an IVP of the same drug that was infused.
Haley Sutton, CPC, CPMA
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