ollielooya
True Blue
I'm stalled again, respected colleagues! When will I ever understand the correct application of the infusion codes?
Established pt. is in to see the neurologist for ongoing persistent HA. He is seen by the doctor but returns later in the afternoon w/HA and requesting IV medication
...." An IV was started at 2:45 PM and 100 mL of saline was infused over 30 minutes. IV infusion ended at 3:15 PM.
Another IV bag containing 100 mL of normal saline and 3 mg of Dilaudid was infused over 30 minutes. IV infusion started at 3:20 PM and ended at 3:50 PM. The IV gradually infiltrated and another side was chosen. Another IV was started and 3 mg of IV Dilaudid was added to 100 mL of normal saline and infused over 30 minutes. IV infusion started at 4 PM and then at 4:30 PM. Patient was monitored for 30 additional minutes..."
Hydration: I cannot report the 96360 because it is 30 minutes or less, correct? Can I report the 96361 because of the parenthetical notes at the end of the notes: (Report 96361 to identify hydration if provided as a secondary or subsequent service after a different initial service (96360, 96365, 96374, 96409, 96413) is administered through the same IV access) Does this qualify as secondary?
96365
+96367
I see subsequent but no concurrent infusions, so these are the choice of codes.
These issues make me long for a reference source entitled "Infusion for Dummies". Don't work the facility side, so really this shouldn't be so hard to grasp, right?
Thanks people!
Suzanne E. Byrum, CPC
Established pt. is in to see the neurologist for ongoing persistent HA. He is seen by the doctor but returns later in the afternoon w/HA and requesting IV medication
...." An IV was started at 2:45 PM and 100 mL of saline was infused over 30 minutes. IV infusion ended at 3:15 PM.
Another IV bag containing 100 mL of normal saline and 3 mg of Dilaudid was infused over 30 minutes. IV infusion started at 3:20 PM and ended at 3:50 PM. The IV gradually infiltrated and another side was chosen. Another IV was started and 3 mg of IV Dilaudid was added to 100 mL of normal saline and infused over 30 minutes. IV infusion started at 4 PM and then at 4:30 PM. Patient was monitored for 30 additional minutes..."
Hydration: I cannot report the 96360 because it is 30 minutes or less, correct? Can I report the 96361 because of the parenthetical notes at the end of the notes: (Report 96361 to identify hydration if provided as a secondary or subsequent service after a different initial service (96360, 96365, 96374, 96409, 96413) is administered through the same IV access) Does this qualify as secondary?
96365
+96367
I see subsequent but no concurrent infusions, so these are the choice of codes.
These issues make me long for a reference source entitled "Infusion for Dummies". Don't work the facility side, so really this shouldn't be so hard to grasp, right?
Thanks people!
Suzanne E. Byrum, CPC