Coding, Classification and Reimbursement

infusion

  • 1.  infusion

    Posted 01-07-2019 11:55
    ​​If I have code for hydration 96361 is it ok to code for a infusion 96365 and or push 96376 as well?  These are given a different times same visit.
    Seems like somewhere I read where hydration can never be coded when an infusion and or push is given.  These always confuse me.


    Thanks
    Jeri

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    Jeri Collins
    Team Lead of Medical Records/Inpatient Coder
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  • 2.  RE: infusion

    Posted 01-07-2019 13:14

    As long as there is no overlap you should be able to but that is really difficult to answer without seeing the documentation.

     

    Terry Clark, RHIA, CCS

    Director, Corporate Coding NTX

    Baylor, Scott & White

    (ph)817-637-6544

    terry.clark@bswhealth.org

     

    I commit to leading the HIM corporate coding team so that we will provide consistent and accurate coding and billing information.

     


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  • 3.  RE: infusion

    Posted 01-08-2019 09:04
    Edited by Dorothy Baxter 01-08-2019 09:08
    Injection and Infusion coding is unique and has really different rules so you are smart to ask!  I'll assume this is coding for a facility - because rules are different depending on the billing provider.  One thing to consider is the condition(s) being treated.  If you have a patient who is dehydrated from N/V and is being hydrated as well as receiving zofran IV and push, you likely can bill the 96361 for some portion of the patients treatment (hydration runs 12 - 3pm, zofran 1-2pm, bill 96361 for 2 hours, the hours zofran isn't running )If the fluids are simply helping another medication along, the 96361 would not be coded/billed. The number of IV sites makes a difference too.  Read the extensive instructions in CPT that precede the codes.
    Hope this helps!

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    [Dorothy "Dotsy"] [Baxter] RHIA CCS
    [ICD-10-CM/PCS AHIMA Trainer Certificate holder]
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  • 4.  RE: infusion

    Posted 01-08-2019 12:01
    Yes very helpful!
     
    Thank you!
     
     
    Jeri Collins, RHIT
    Hocking Valley Community Hospital
    Medical Records Lead
    Inpatient Coder
    HIPAA Privacy Officer
    740-380-8254