Medical Coding Training-- How To Code Infusions, IV Push and Hydration

Medical Coding Training– How To Code IV Push and Hydration https://www.cco.us/ceu-respiratory-hemic-lymphatic-on-demand-class-yt

Q: If a patient’s chief problem is tossing up and diarrhea, bad thing, and the patient got an IV Push of Zofran and hydration for 2 hours, would it be coded as 96374, that’s for the IV Push, and 96361 (2 )? Also, are there any cheat sheets or flowchart that discuss how to code infusions, pushes and hydrations?

I did attempt and do a Google search to discover any and a lot of individuals talked about wanting the very same thing. Maybe that is something we’ll have to put on our list of coding tools to develop in our little giveaway location.

I went to SuperCoder and searched for the codes and discovered some info on hydration infusion. Now, this is in fact in your CPT manual since I understood 93961 was an add-on code. I wanted to see due to the fact that the concern up here 96360 is the moms and dad code to 361, but it doesn’t always mean that there is a parenthetical note offering us various directions, which’s undoubtedly what I found.

My reply was 93961 is an add-on code, so we require to see what is appropriate to include it on to. The first parenthetical note says to use it in combination with 96360, so I believed I was done and was stating therefore we require to have the 96360 noted initially for the first hour and 93961 for the 2nd hour. Upon further research I found out that would be if hydration was the preliminary service, and in this questioner’s case that was not what we were dealing with.

Reading further down beneath the code, there is another parenthetical note that states to report 96361, the add-on code, to recognize hydration if offered as a secondary or subsequent service after a various preliminary service. And here is the very code that they were inquiring about for that push. And this is the essential if it is administered through the exact same IV access.

If the Zofran was administered through the exact same IV that is being used for the hydration, then yes, you can use the add-on code 96361 in addition to the 96374, and after that you need to enter the system things with the time and yes that would be two systems.

If you’re on the Replay Club you’ll get a link to this article on SuperCoder. This is simply the portion of the short article and it was labeled.

2. How Do You Code Hydration Following an IV Push?
After that, personnel administered 95 minutes of hydration. How should we report the administration codes for this encounter?

By the way, the two codes are initial hour “each additional hour” is how it’s worded.
The answer is, if the client received chemotherapy through IV push and consequently 95 minutes of hydration, you would code 96409, that’s for the chemo; and then for the IV push, you ‘d code … you ‘d code for the IV push but for the hydration you’re going to code 96361 x 2 due to the fact that the documents supported 95 minutes. You’ll discover that the appropriate hydration coding includes an add-on code and not96360

You need to report 96360 just when the hydration is the preliminary service. And there’s the CPT guideline: “When administering several infusions, injections or combinations, just one ‘preliminary’ service code must be reported for a given date, unless protocol requires that there’s 2 different IV websites,” and that can occur too. Doctor coders ought to select the preliminary code based on the primary reason for the patient visit.

Yeah, you had it right in your concern however I would go to that SuperCoder website and check out that article. It was really well-written and illuminating.

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