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					IV DRUG ADMINISTRATION
       ADMINISTRATION
       CATEGORIES
       PART III
       Sandy Sage R.N.
        CATEGORIES

 Hydration
 Chemotherapy
 Therapeutic,   Prophylactic and
 Diagnostic
  HCPCS/CPT CODES

Each category has their own CPT
 and/or HCPCS codes. The codes
     are based on the type of
    substances administered.
         HYDRATION
 Hydration  CPT codes are reported
  for IV infusions which are
  administered for at least 31
  minutes for the purpose of
  rehydrating the body.
 The fluids are infused through an
  IV catheter into the veins.
   HYDRATION FLUIDS
 Pre-packaged   fluids and/or
  electrolyte solutions such as
  normal saline or a dextrose
  solution like D5W.
 Hydration fluids do not contain
  additives other than sugar and
  electrolytes.
REPORT HYDRATION
 When the fluids are being given
  for the purpose of treating the
patient. Usually for patients who,
 for some reason, have a lack of
  normal fluids as in the case of
   dehydration from vomiting.
      DEHYDRATION

This is not the only diagnosis that
  hydration fluids are given for.
  There are other diagnoses that
    require hydration services.
     DO NOT REPORT:

When the fluids are only being used
as a way to keep a vein open or as a
  vehicle for the administration of
  other medications or substances.
HYDRATION CPT CODES
            90760
 Used for the initial 31 minutes
   to one hour of an “initial”
       hydration infusion.
HYDRATION CPT CODES
           90760
 Hydration is only considered
 an “initial” service when no
   other drug products are
 administered through the IV
  during the patient’s visit.
HYDRATION CPT CODES
           90761
 An add-on code used to report
  each additional hour that a
  hydration infusion is given.
HYDRATION CPT CODES
            90761
 Each additional hour is only
charged if the infusion extends
30 minutes past the prior hour.
HYDRATION CPT CODES
            90760
If another drug administration
is given during the same visit,
  CPT 90760 is not reported.
HYDRATION CPT CODES
            90761
Instead 90761 is used to report
    the first hour and each
 additional hour. There would
     be no “initial” hour of
      hydration reported.
      < 30 MINUTES
   If a hydration infusion is
  administered for less than 30
minutes, that hydration service is
NOT billable. There is not a CPT
code that describes hydration that
        lasts < 30 minutes.
        EXAMPLE
A patient comes into the ER with
 c/o nausea and vomiting for 24
hours. The doctor determines the
patient is dehydrated and orders
   an electrolyte solution to be
             infused.
      EXAMPLE cont
   The nurse documents that the
fluids began infusing at 9:45 p.m.
  At 11:30 p.m., it is documented
 that the fluids were discontinued
  and the patient was discharged.
      EXAMPLE cont
 From the times documented, you
see that the patient received fluids
  and no other medications for 1
       hour and 45 minutes.
          EXAMPLE cont
In this example, you would charge:

 90760 x1
 90761 x 1
      CATEGORY 2

    CHEMOTHERAPY
The use of chemical substances to
           treat disease.
       CHEMOTHERAPY
 IV administration of non-radionuclide
  anti-neoplastic drugs
 Anti-neoplastic agents for non-cancer
  diagnosis
 Monoclonal antibody agents
   CHEMO INJECTIONS
        CPT CODE 96409
 Chemotherapy administration via
  IV push.
 Can be single or initial service
   CHEMO INJECTIONS
         CPT CODE 96411
 Chemo via IV push
 Reported for each additional
  substance/drug administered.
 List separately in addition to the
  code for primary or initial service
    CHEMO INFUSIONS
   CPT CODES 96413 & 96415
 96413 single or initial service code
  for chemo infusion up to one hour,
  minimum of 16 min/infusion
 96415 Each additional infusion hour
    CHEMO INFUSIONS
    CPT CODE 96416 & 96417
 96417 each additional sequential
  infusion of different chemo
  substance up to one hour
 96416 initiation of prolonged
  therapy that will last more than 8
  hours
 NON-CHEMOTHERAPY
 Therapeutic, Prophylactic and
  Diagnostic injections and
  infusions.
 IV administration of any
  substance or drug product other
  than those described in hydration
  category
 NON-CHEMOTHERAPY
 IV drug administration for the
  purpose of healing or treating a
  condition or for diagnostic
  purposes to diagnosis a condition.
 Not reported when related to a
  procedure
CPT CODES 90774/90775
 90774:   Single or initial push of a
 drug

 90775:Each additional push of a
 new or different drug
    CPT CODE 90776

90776: Injection of each additional
drug of the same substance given at
   least 30 minutes after the first
     injection of that substance.
CPT CODES 90765/90766
 90765:Initial IV infusion for
 therapy, prophylaxis or diagnosis,
 up to one hour

 90766: Each additional hour of this
 type infusion.
CPT CODES 90767/90768
 90767:Additional, sequential
 infusion up to one hour

 90768:   Concurrent infusion
REVIEW
CONTACT INFORMATION
          EMAIL

Sandy.Sage@HCAhealthcare.com

				
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