I was hoping for clarification on a topic that has me torn as to the true and correct coding method. The below scenario and rationale comes directly from the CHONC Specialty Practice Exam.

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Prior to this I have previously been taught that we can only bill a IV push as primary to a hydration infusion (Facility Hierarchy rules), but per the AAPC rationale provided because I am in a physician practice (not a facility) I can bill a 96360 and 96375 in a real life scenario.

Has anyone ever tried this? Or do hey have any experience with physician infusion guidelines being different than facility guidelines?

The AMA CPT Guidelines for hydration and therapeutic infusions do state that “When these codes are reported by the physician or other qualified healthcare professional, the “initial” code that best describes the key or primary reason for the encounter should always be reported irrespective of the order in which the infusions of injects occur.”

Any input is greatly appreciated!!

Thank you,
Asia