Shelly7169
Contributor
I have been studying for the CHONC exam and ran across a contradiction to what I have been coding in a hydration and therapeutic IV Push scenario. I code for a free-standing infusion center.
I have been using the hierarchy:
Chemo Infusion
Chemo IV Push
Therapeutic Infusion
Therapeutic IV Push
Hydration
Injections
If a patient comes in for a two hour hydration of 1L NS and has a IV Push of Decadron for nausea.
I would code the administration as: 96374 for the IV Push and 96361 x2 for hydration.
According to the study materials this would be coded as 96360, 96361 for the hydration and 96375 for the IV Push.
I know we are to code the primary as the main reason the patient is coming in, but I thought it still had to follow the hierarchy. For instance, if the patient had a chemo IV Push and a therapeutic infusion, you would code the chemo as primary even though, generally an infusion would trump an IV Push.
Any help with documentation regarding this would be appreciated - especially if you found it in the CPT book. Thanks! ~Shelly
I have been using the hierarchy:
Chemo Infusion
Chemo IV Push
Therapeutic Infusion
Therapeutic IV Push
Hydration
Injections
If a patient comes in for a two hour hydration of 1L NS and has a IV Push of Decadron for nausea.
I would code the administration as: 96374 for the IV Push and 96361 x2 for hydration.
According to the study materials this would be coded as 96360, 96361 for the hydration and 96375 for the IV Push.
I know we are to code the primary as the main reason the patient is coming in, but I thought it still had to follow the hierarchy. For instance, if the patient had a chemo IV Push and a therapeutic infusion, you would code the chemo as primary even though, generally an infusion would trump an IV Push.
Any help with documentation regarding this would be appreciated - especially if you found it in the CPT book. Thanks! ~Shelly