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Hydration coding when transfered from clinic

Deaconess Posted Fri 07th of October, 2016 13:28:22 PM
When a patient is in the clinic setting and hydration started and then transferred to the ED. Can the clinic bill for they hydration since the IV was never discontinued? Thank you,
SuperCoder Answered Tue 11th of October, 2016 11:30:37 AM

Hi Deaconess,

If an infusion is started in the clinic visit preceding ED, subsequent or concurrent hours of infusion may be coded in ED but the initial service codes would not be coded a second time, unless a second IV infusion site was initiated. However, clinic setting will stop billing as soon as POS changes and ED starts billing, as this codes needs direct observation as well. Also, CMS directs facility providers to follow CPT rules for coding injections and infusions. 

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