Billing and Coding: Hydration Services (A54635) - R5 - Effective May 07, 2020

This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

Effective Date: May 07, 2020

Summary of Article Changes: In the Article Text, provided clarification under the Documentation would include but is not limited to: "B. These codes are not intended to be reported/billed by the physician or other qualified healthcare professional in the facility setting, as these codes most likely represent facility charges with applicable reimbursement through the respective fee schedule. However, in the physician office setting (example, Place of Service 11), the physician may report these codes when the physician's clinical staff or the physician administers the fluids."

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Last Updated Sep 22 , 2022