tci ED Coding & Reimbursement Alert - 2006 Issue 3

You Be the Coder: Account for Specific Case With Hydration Code

Question: When a patient receives multiple injections and infusions, how do I determine which service to assign the -initial- code? For instance, a patient comes in with nausea and vomiting and receives IV hydration and an IV of Zofran. Do I use the -initial- code to describe the IV, or the infusion? Connecticut SubscriberAnswer: Frequently in the emergency department, the clinical situation of the patient will support the use of the hydration (90760, Intravenous infusion, hydration; initial, up to one hour) as the initial service, and the injection or infusion of the medication (+90766, Intravenous infusion, for therapy...

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