Pvdcoder
Contributor
Hello, I have a question as to what is required in order to charge for IV Hydration in the Emergency Room. The CPT books don't really go into depth about either of these questions. It is a 2 part question. 1st Question: We know that we first need a Physician order, Start and Stop Times, Reason for Hydration so it meets medical necessity and cannot run at the same time as a med infusion but do we need volume/rate and site to code? Is it Absolutely Required that we have the following:
1. Anatomic Site/Method of Administration of the Hydration infusion requirements (example Left Antecubital via IV)
2. Fluid Bag Volume/Amount example 1000 ml
3. Rate of Infusion?
Can we not charge for hydration if we do not have the Site, Volume and Rate? Or is it just recommended?
Here is a example we have from our orders we commonly see for Hydration in EPIC: We have no rate or site so can we code this?
Infusion Orders #1
Sodium Chloride (NS) 0.9 % bolus 1,000 mL
Total time: 2 Hours 19 Minutes
Running start: 11/21/2016 0836 Running stop: 11/21/2016 1055
Action Dose Rate Route Site Time Comment
New Bag 1,000 mL Intravenous 11/21/2016 0836
Stopped 0 mL 0 mL/hr Intravenous 11/21/2016 1055
2nd Question, can we charge for Hydration Bolus' and Lactated Ringers or does it have to say specifically that it is Normal Saline? Thank you in advance for any help you can offer![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
1. Anatomic Site/Method of Administration of the Hydration infusion requirements (example Left Antecubital via IV)
2. Fluid Bag Volume/Amount example 1000 ml
3. Rate of Infusion?
Can we not charge for hydration if we do not have the Site, Volume and Rate? Or is it just recommended?
Here is a example we have from our orders we commonly see for Hydration in EPIC: We have no rate or site so can we code this?
Infusion Orders #1
Sodium Chloride (NS) 0.9 % bolus 1,000 mL
Total time: 2 Hours 19 Minutes
Running start: 11/21/2016 0836 Running stop: 11/21/2016 1055
Action Dose Rate Route Site Time Comment
New Bag 1,000 mL Intravenous 11/21/2016 0836
Stopped 0 mL 0 mL/hr Intravenous 11/21/2016 1055
2nd Question, can we charge for Hydration Bolus' and Lactated Ringers or does it have to say specifically that it is Normal Saline? Thank you in advance for any help you can offer
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