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CPT 96360 - An intravenous infusion of hydration of 30 minutes or less is not billable Hydration infusion must be at least 31 minutes in length to bill the service It is appropriate to charge for hydration provided before and/or after therapeutic infusion Hydration time intervals should be continuous and not added together Conditions for Coverage (CfCs) & Conditions of Participations (CoPs) Deficit Reduction Act. Economic Recovery Act of 2009. Promoting Interoperability (PI) Programs. Emergency Medical Treatment & Labor Act (EMTALA) Freedom of Information Act (FOIA) Legislative Update. Paperwork Reduction Act (PRA) of 1995. This article references CPT ® E/M section guidelines and CMS 1995 and 1997 Documentation Guidelines because all are important to proper coding of E/M services. Note, however, that because of the 2021 updates to office/outpatient E/M coding, the 1995 and 1997 Documentation Guidelines no longer apply to CPT ® codes 99202-99215. In the context of these guidelines, the term provider is used throughout the guidelines to mean physician or any qualified health care practitioner who is legally accountable for establishing the patient's diagnosis.Only this set of guidelines, approved by the Cooperating Parties, is official. The guidelines are organized into sections. and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, th Revision, Clinical Modification (ICD-10-10CM). These guidelines should be used as a companion document to the official version of the ICD-10-CM as published on the NCHS website. 1.2 Billing Guidelines. This code can also be reported diagnostic purposes. Report CPT 64405 for one or more injections during the procedure. 2. CPT 64415. CPT code 64415 is described by the CPT manual as: "Injection (s), anesthetic agent (s) and/or steroid; brachial plexus.". Teaching Physicians, Interns, & Residents Guidelines. MLN Booklet Page 2 of 11 MLN006347 May 2022. Table of Contents. Individual medical psychotherapy (CPT codes 90804-90829) Critical care services (CPT codes 99291-99292) Hospital discharge day management (CPT codes 99238-99239) CPT Guidelines by Coding Info on September 02, 2017 in CPT Guidelines CPT (Current Procedural Terminology) By AMA (American Medical Association) published annually (Jan 1st) is used to assign five-digit codes for procedure/service performed by the physicians / other health care professionals. Divisions in CPT book An MUE for a HCPCS/CPT code is the maximum number of units of service (UOS) reportable under most circumstances by the same provider/supplier for the same beneficiary on the same date of service. The ideal MUE value for a HCPCS/CPT code is one that allows the vast majority of appropriately coded claims to pass the MUE. CPT Code 99204 One of the most often utilized codes for new patients in an Urgent Care setting. It requires fulfillment of three key criteria: a thorough history, comprehensive review, and moderately complex medical decision-making. It has a comparatively high reimbursement rate with a correspondingly low risk of noncompliance. Using 1995 Documentation Guidelines 1 system 2 - 7 systems 2 - 7 systems 8 systems Using 1995 Documentation Guidelines 1 system 2-7 systems 2-7 systems 8 systems CPT Coding and Documentation Guide