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medication through IV

Hi Sharon & Karen:Here is the situation - MEDICARE (NJ) - During an E & M visit, doctor also gives medication through IV for Vitamin C and B complex (not an injection) in his office - we have...

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Re: medication through IV

I'm a bit baffled as to the medical necessity of an IV for vitamins during an office visit. Or did the patient come in with an IV in place?? Perhaps you can give us a bit more information as to the...

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Re: medication through IV

Hi Sharon:They do this when it is a medical neccessity e. g. patient comes in dehydrated and needs to be put on IV immedicately. The diagnosis codes are - 780.93, 291.2, 276.51, 780.79. I am still...

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Re: medication through IV

Here are the codes for IV infusion for hydration: 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour (if less than 30 minutes do not report it) 96361 Intravenous infusion, hydration;...

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Re: medication through IV

For the drug codes I found this: https://www.cgsmedicare.com/ohb/pubs/mb_J15/2012/08_2012/PDFs/PartB_NOC.pdf This i...Read More

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Re: medication through IV

Ah I see now. I don't think I've ever worked for a doc that treated that degree of dehydration in the office, we would call an ambulance. I was thinking the IV was in conjunction with an in-office...

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Re: medication through IV

Karen & Sharon:Karen, the link you sent is of great help even otherwise for us going forward with this client. I see the Vitamin C (Acorbic acid) and non-covered reference in there as well. But...

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Re: medication through IV

Not sure why I put see page 59, it could have been a different link that I was looking at. Let me look into it again. I can't find code 95366 I don't even show it as a deleted or changed code, can you...

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Re: medication through IV

sorry Karen - a typo - it is 96366 for IV administration. This office bills for J3420 and so have we for other clients but thats an B12 injection. This doctor appraently does IV in the office. I...

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Re: medication through IV

No problem 96366 is in the series for IV infusion that I gave you above it's not a separate administration code it's the same the IV start is included. Here's the description of the first code then...

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Re: medication through IV

girls:Ok I talked to the doctor, made him aware that the actual dose of BComplex and Vitamin C is not payable and there is no code, however, the infusion for hydration with a 96365 and 96366 for...

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Re: medication through IV

There is nothing different about billing incident to the claim form should be filled out the same way as if the doctor is rendering the services. Just have your documentation in place as to who...

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Re: medication through IV

Incident-to doesn't apply to a new problem. If an existing patient has a new problem, they have to see the MD. Just FYI.

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Re: medication through IV

Thanks girls. As always you are great help and bring a discussion to fruition.

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