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Sherry Posted Fri 01st of December, 2017 08:51:45 AM
Can saline solution be billed as 275 cc? I only see the choices of saline solution 250 cc and saline solution 1000 cc//also, can saline only be given IV by drip/hung or can it be pushed? End result is patient needed 275 cc and there are no in between codes that I could find for this type of amount.
SuperCoder Answered Mon 04th of December, 2017 07:28:23 AM

Hi, 

An IV push is an injection rapidly delivers a single dose of medicine directly into the bloodstream. IV Push (IVP) is an IV administration of a therapeutic, prophylactic, or diagnostic drug; or an infusion that runs for 15 minutes or less; or Any infusion without documentation of a stop/continuing time. Hence, documentation should include the hydration or infusion start and stop time of normal saline administration. For the above scenario  Normal saline solution 250 cc J7050 Infusion is appropriate code. If 275 cc was administered then Bill J7050 two times on separate claim lines with one line item with JW modifier along with J7050. e.g.

J7050

J7050-JW

Hope this helps!

Sherry Posted Mon 04th of December, 2017 09:21:18 AM
This is perfect, and if you don't mind, so that I understand, the JW is telling the insurance that a little more than normal was used, but the remainder amount was discarded? As long as documentation shows the 275 cc, that 2nd J7050-JW will help represent that?
SuperCoder Answered Tue 05th of December, 2017 06:12:16 AM

 The JW modifier is a Healthcare Common Procedure Coding System (HCPCS) Level II modifier used on a Medicare Part B drug claim to report the amount of drug or biological (hereafter referred to as drug) that is discarded and eligible for payment under the discarded drug policy. The modifier shall only be used for drugs in single dose or single use packaging. 

Note:  The drug discarded should be billed on a separate line with the JW modifier. The unit field should reflect the amount of drug discarded.

For more information refer undermentioned article.

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c17.pdf

 

Hope this helps!

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