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An infusion is administered lasting 15 minutes or less.
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Intravenous (IV) infusions are billed based upon the CPT ®/HCPCS description of the service rendered. The medication administration record and/or the nursing documentation should coincide with the billing based on time of initiation, time of completion, and discharge from the outpatient facility. If an additional drug is administered and infused for 20 minutes no additional units would be billed, as the one hour increment has not been exceeded.
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Hydration therapy is always secondary to infusion/injection therapy.įor example, if the initial administration infuses for 20 to 30 minutes the provider would bill one unit because the CPT ® (Current Procedural Terminology) /HCPCS (Healthcare Common Procedure Coding System) code states 'initial up to or first hour'. Documentation, medical necessity, and code assignment are very important.įor purposes of facility coding, an infusion is required to be more than 15 minutes for safe and effective administration. Palmetto GBA has received inquiries related to the billing and documentation of infusions, injections and hydration fluids. To license the electronic data file of UB-04 Data Specifications, contact Tim Carlson at (312) 893-6816.
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Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. Product or publication creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions and/or making any commercial use of UB-04 Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any If an entity wishes to utilize any AHA materials, please contact the AHA at 31. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be copied without the express written consent of the AHA.ĪHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution orĭerivative work without the written consent of the AHA. All rights reserved.Ĭopyright © 2013 - 2021, the American Hospital Association, Chicago, Illinois.
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The AMA assumes no liability for data contained or not contained herein.Ĭurrent Dental Terminology © 2020 American Dental Association. The AMA does not directly or indirectly practice medicine or dispense medical services. Applicable FARS/HHSARS apply.įee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not AMA CPT / ADA CDT / AHA NUBC Copyright StatementĬPT codes, descriptions and other data only are copyright 2020 American Medical Association.