Home » Categories » Drug Administration Coding

IV Push (96374)


Question

I have been told that if a therapeutic infusion does not have a stop time, it is still appropriate to charge for an IV Push.  Are there any written guidelines to this effect?

Answer

There is currently only one FAQ published on the CMS website that partially addresses your question.  The comments that I have seen would seem to indicate that a facility should not charge an IV Push in those instances where an infusion time cannot be calculated.  Instead, the facility should work on correcting the documentation deficiencies that are preventing the facility from charging this service correctly.  I have provided the FAQ below for your reference.

If a patient is receiving an IV infusion for hydration and the stop time is not documented in the medical record, how should the service be coded?

Infusion times should be documented. Hydration of thirty (30) minutes or less is not separately billable. When requested, providers should submit documentation indicating the volume, start and stop times, and infusion rate (s) of the solution provided. In the absence of the stop time the provider should be able to calculate the infusion stop time with the volume, start time and infusion rate and code accordingly.


Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Infusion & Injection
Viewed 603 times since Mon, Jul 25, 2011
Infusion Stop Times
Viewed 1521 times since Tue, Jun 7, 2011
EHR Documentation Infusions/Injections
Viewed 1652 times since Thu, Feb 17, 2011
Infusions-2011 New Rule
Viewed 2735 times since Fri, Jan 7, 2011
Hepatitis Vaccine Administration
Viewed 1230 times since Fri, Jan 14, 2011
Lupron as Chemotherapy
Viewed 3206 times since Tue, Nov 16, 2010
NS with KCL-Hydration or Drug Infusion
Viewed 4967 times since Fri, Apr 1, 2011
Blood Transfusion Administration Pre Procedure
Viewed 7532 times since Tue, Feb 22, 2011
Drug Administration 90471
Viewed 4723 times since Tue, Aug 21, 2012
Lupron Injection Charge in Addition to E&M Service
Viewed 2013 times since Tue, Nov 16, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506