tci ED Coding & Reimbursement Alert - 2008 Issue 11

Reader Questions: ED Exception Can Confuse Hydration Coding

Question: A patient undergoing chemotherapy for tracheal cancer reports to the ED suffering from dehydration. Under physician supervision, a nurse hydrates the patient with 250 cc of normal saline for 40 minutes. How do I report this encounter? Georgia SubscriberAnswer: To report this encounter correctly, you-ll need to follow rules that providers outside of the ED won't have to.Explanation: ED physicians can no longer report the hydration code 90760 (Intravenous infusion, hydration; initial, 31 minutes to 1 hour). According to CPT 2008, "Physician work related to hydration, injection and infusion services predominately involves affirmation of treatment plan and...

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