Health Information Management

Pay-per-view: Coding for hydration services

APCs Insider, January 10, 2014

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Hydration, which sits lowest on the drug administration hierarchy, comes with its own set of guidelines because only specific solutions can be used for hydration. If the solution is mixed with other drugs or substances, it could also change the code required.
While hydration concurrent with other drug therapy is not separately reportable, medically necessary pre- or post-therapy hydration would be. Similarly, hydration services administered during a blood infusion or between units of blood in order to keep the line open would not be separately reportable.
While hydration can’t be reported as an initial service when provided with intravenous injection and infusion services subject to the hierarchy, it can be reported with the initial service code when provided with other drug administration service codes that aren't part of the hierachy.
Continue reading Clearing the confusion with injections and infusions on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the December issue.

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