1. TONYA SHARP
   Member
   Posted 2 years ago #
   

   CAN I CHARGE 96360 WITH 96365? I WAS TOLD I CAN NOT CHARGE 96360 WITH 96365 BECAUSE THEY BOTH WAS AN INTIAL CODE SO IF TH IV STARTS AS A HYDRATION AND A HOUR LATER A PUSH IS ORDERED I WAS TOLD TO NOT CHARGE 96360 TO CHARGE IT AS 96365 AND NOT TO CHARGE 96374 TO CHARGE THE PUSH AS 96375 BECAUSE THEY BOTH ARE INITIALS. AND I DON'T UNDERSTAND THE CONCURRENT 96368 WHAT IS THE DIFFERENCE WITH 96368 AND THE SEQUENTIAL 96367?? HELP PLEASE..

2. Anonymous
   
   Posted 2 years ago #
   

   The Description of 96365 is 'Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour'

   If you see the section notes above 96365 it says "A therapeutic, prophylactic, or diagnositic IV infusion or injection (other than hydration) is for the administration of substance/drugs.

   It says 'other than hydration'. And sequential hydration (not concurrent to chemotherapy) can be billed separately.

   Since 1 hour hydration has been given prior to IV push you should report 96360 and 96374

   Ref: http://www.precysesolutions.com/featured_articles/Auditing%20IV%20Hydration%20Documentation%20and%20Coding.pdf

   http://www.wpsic.com/medicare/part_b/policy/honc002.pdf

   concurrent means given at the same time as any other IV and sequential means one administration follows the other as in your case.

   I look forward to comments by others on this.

   Thanks

   Ash

3. Anonymous
   
   Posted 2 years ago #
   

   you also need modifier 59 with 96374.

   Thanks

4. Renee Spiriti
   Member
   Posted 1 year ago #
   

   If posting for the hospital facility side you would post 96374 and 96361. 96360is an inital code and you can have only one initial code per encounter. According to the CPT guidelines IV push is primary to hydration. Drugs are always the initial code whether infusion or push. Under hydration +96361 states (Report 96361 to indentify if provided as a secondary or subsequent service after a different initial service [96360, 96365, 96374, 96409, 96413] is administered through the same IV access).

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