tci ED Coding & Reimbursement Alert - 2007 Issue 4

Reader Question: E/M Possible On Hydration Encounter

Question: A patient who is complaining of diarrhea and extreme thirst reports to the ED. Suspecting dehydration, the physician places an IV and conducts normal saline hydration for 1 hour and 45 minutes. Notes also seem to indicate a separate evaluation and management service. Can we report the E/M too, or is it bundled into the hydration code?Maryland SubscriberAnswer: Yes, you can report the E/M service along with the hydration codes. An encounter for hydration (or injections) typically includes a separate (E/M) service that CPT allows you to code separately. Hydration coding: For the hydration service, you...

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