CPT Knowledgebase - Jul 6, 2021

The patient received an ambulatory intravenous (IV) infusion of sodium acetate for hydration over 24 hours in conjunction with high-dose methotrexate therapy. The physician clearly noted in the order to start post-hydration immediately after the completion of methotrexate infusion at 125 mL/hr and continue until methotrexate is cleared. The hydration guidelines for codes 96360 and 96361 state that this procedure is only reported under direct medical supervision. Is it appropriate to report codes 96360 and 96361 if a portion of the hydration was unsupervised?

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