ollielooya
True Blue
Need some wise eyes to take a look at this note: Patient seeking acute care treatment for headaches comes in for treatment at the physician's office: Here's a paragraph extraction and am stalled at seeing the submitted codes of 96360, 96374, 96365.
IV access was established at 10:12 AM and about 200 cc of IV normal saline was infused over the course of 30 minutes. An injection of Toradol 30 mg and Phenergan 25 mg were both injected intravenously. Patient complained of ongoing nausea and HA had resolved. Then an IV bag containing 25 mg of Phenergan diluted in 100 cc of normal saline was attached and infused over 30 minutes starting at 10:45 AM and ending at 11:17 AM. HA and nausea resolved.
Insurance is commercial coverage. 96360 for hydration is really not applicable in this situation, is it? Nothing in the notes about patient being dehydrated and it appears to be used to facilitate the drugs? So it looks like two IV pushes for the Toradol and Phenergan along with the 96365 for the IV bag diluted with the phenergan?
AND I'm needing this for my own education, why would not 96365, 96367 be appropriate?
---Suzanne E. Byrum CPC
IV access was established at 10:12 AM and about 200 cc of IV normal saline was infused over the course of 30 minutes. An injection of Toradol 30 mg and Phenergan 25 mg were both injected intravenously. Patient complained of ongoing nausea and HA had resolved. Then an IV bag containing 25 mg of Phenergan diluted in 100 cc of normal saline was attached and infused over 30 minutes starting at 10:45 AM and ending at 11:17 AM. HA and nausea resolved.
Insurance is commercial coverage. 96360 for hydration is really not applicable in this situation, is it? Nothing in the notes about patient being dehydrated and it appears to be used to facilitate the drugs? So it looks like two IV pushes for the Toradol and Phenergan along with the 96365 for the IV bag diluted with the phenergan?
AND I'm needing this for my own education, why would not 96365, 96367 be appropriate?
---Suzanne E. Byrum CPC