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IV Hydration in physician's office

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:
Office Setting
---------------
Primary Service (listed by rank)
-Chemo infusions
-Chemo injections
-Non-chemo, therapeutic infusions
-Non-chemo, therapeutic injections
-Hydration infusions
*
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.
facility reporting:
-----------------------
The initial code should be selected using the following hierarchy:
Drug Group
1st Chemotherapy services
2nd Therapeutic, prophylactic, and diagnostic services
3rd Hydration services.
Administration route:
1st Infusions
2nd Pushes
3rd Injections

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.
Additional Note:
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.

Reference:
http://www.trailblazerhealth.com/Publications/Job%20Aid/ChemotherapyAdministrationPartB.pdf

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