Maiu Posted Mon 14th of November, 2011 14:52:37 PM
In physician's office is Hydration always third in hierarchy when billed with Infusion and IV Push? Does the same hierarchy apply for physician's office and hospital setting?
SuperCoder Answered Mon 14th of November, 2011 16:38:13 PM
Listed below is the hierarchy you can use to select the primary or initial service:
Primary Service (listed by rank)
-Non-chemo, therapeutic infusions
-Non-chemo, therapeutic injections
Also remember that hospitals cannot report hydration when the fluids are solely to administer drugs or to keep a line open. The administration of fluid is incidental hydration and you cannot bill for it.
The initial code should be selected using the following hierarchy:
1st Chemotherapy services
2nd Therapeutic, prophylactic, and diagnostic services
3rd Hydration services.
Maiu Posted Mon 14th of November, 2011 23:21:40 PM
Can Hydration be billed separately in the office setting when the fluids are solely to administer drugs?
SuperCoder Answered Tue 15th of November, 2011 00:11:56 AM
Fluid used to administer a drug(s) is incidental hydration and is not separately payable.
Infusion of saline, an antiemetic, or any other non-chemotherapy when these drugs are administered at the same time as chemotherapy (within minutes) should not be billed as hydration therapy with these CPT codes.