Donna m Posted Wed 28th of August, 2013 10:50:06 AM
The insurance is saying 96379 2 hrs of Intraperitonel Hydration is bundled into all the other codes that day. Carboplatin was given IP and then hydration followed IP. The premeds and Gemcitabine were given IV. Although 96379 is not for hydration, that is all we had to use for an unlisted code as there is no unlisted code for Hydration givenother than IV. Can IP be considered IV. SHould we be billing 96361 instead for the hydration even though it was given Intraperitoneal? Admin codes charged were 96413, 96367.59, 96446, 96379.59.
SuperCoder Answered Thu 29th of August, 2013 11:03:15 AM
It’s possible that the IP hydration was a distillate, as this Medscape article explains: “Patients receiving IP chemotherapy should have IP hydration before and after administration of the chemotherapy. IP hydration serves as a distillate, allowing exposure of tissues to the chemotherapy, and provides a source of travel into the peritoneal cavity.” http://www.medscape.com/viewarticle/767744_4
Per this ACCC article (page 1, gray box, http://www.accc-cancer.org/oncology_issues/articles/JanFeb2011/JF11-Coding.pdf), dilutional fluid isn’t reportable as hydration with IP chemo.