Several payers have guidelines stating you should not report fluids unless you meet specific requirements. (You can search here: www.cms.hhs.gov/mcd/overview.asp.) Part B MAC First Coast Service Options, for example, has published an article (A48591) stating: " If the patient receives less than 500 cc of D5W,you always bundle it in the other services billed " If the patient receives less than 250 cc of normal saline, you always bundle it in the other services billed.