Académique Documents
Professionnel Documents
Culture Documents
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Review of Concepts
Hierarchy
Code Definitions
Documentation
Time
Physician Order
Substance Administration
Concurrent vs. Sequential Infusion
Hydration
Tips/Exercises
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Chemotherapy Infusions
Chemotherapy Injections
Therapeutic, Prophylactic and Diagnostic Infusions
Therapeutic, Prophylactic and Diagnostic Injections
Hydration Infusions
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Codes
Description
Time Duration
96360
Intravenous infusion;
Hydration; initial, 31
minutes to 1 hour
31 minutes to one
hour
Do NOT report
hydration infusions
of 30 minutes or
less
96361
Intravenous infusion;
Hydration; each
additional hour
Beginning at 91
minutes
96365
Intravenous infusion;
for therapy,
prophylaxis, or
diagnostic; initial, up
to 1 hour
16 minutes to one
hour
Infusion less than
15 minutes = IVP
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Codes
Description
Time Duration
96366
Intravenous infusion,
for therapy,
prophylaxis, or
diagnostic; each
additional hour (list
separately in addition
to primary code)
Beginning at 91
minutes
Same Drug
96367
Intravenous infusion,
therapy, prophylaxis
or diagnostic;
additional sequential
infusion, up to 1 hour
(list separately in
addition to primary
code)
Different Drug
Additional hours
will be reported
using 96366
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Codes
Description
Time Duration
96368
Intravenous infusion,
16 to 90 minutes
for therapy,
Can only be billed
prophylaxis, or
ONCE regardless of
diagnostic; concurrent
the duration of the
infusion) list
concurrent infusion
separately in addition
to primary code) ONCE
per day
96372
Subcutaneous or IM
injection
No restrictions on
multiple injections
96374
Therapeutic,
prophylactic or
diagnostic injection;
IVP, single or initial
substance/drug
15 minutes or less
Do NOT report this
with Initial
Therapeutic
Infusion (96365)
unless meets
criteria
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Codes
Description
Time Duration
96375
Therapeutic,
15 minutes or less
prophylactic or
NEW drug
diagnostic injection;
each additional
sequential IV PUSH of
a NEW substance/drug
(list separately in
addition to code for
primary procedure
96376
15 minutes or less
SAME drug
Must be 30 minutes
since initial push
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90460 90474
Code only one INITIAL immunization
administration per visit
Follow same rules as injections/infusions
Parentheticals below immunization codes
clearly state which combinations are not
allowed to be billed together
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Some answers:
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Separate Encounter
2 am
4 pm
A Concurrent Infusion
occurs when multiple
infusions are provided
simultaneously through
the same intravenous
line.
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Depletion
Inability to maintain fluid intake (i.e., nausea &/vomiting)
Sugar &/ electrolyte imbalances
Diarrhea
Pain
*NOTE:
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Contrast
during
CT Scan
Epinephrine
during CPR
Surgery
or
Recovery
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MEDICATION INFUSION
IV PUSH
HYDRATION
____96368 Concurrent
infusion Report only once
per encounter
____# 96375 IV Push Each
push of different drug
____# 96376 Each IV push
of same drug at intervals >30
min
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96374 IVP
96361 x 2 - Hydration
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