Billing and Coding: Infusion, Injection and Hydration Services

Facility-level IV infusions are billable when administration exceeds 15 minutes; IV pushes are 15 minutes or less and require continuous clinician presence. Hydration is separately billable only when medically necessary and administered for more than 30 minutes (31–60 minutes as initial, then each additional hour separately); hydration ≤30 minutes is not separately billable. Accurate documentation of start/stop times, volumes, infusion rates, access sites, and physician orders is required, and only one initial infusion code is allowed per encounter unless distinct IV sites or separate same-day encounters justify additional initial codes (use modifier 59).

"For facility coding, an IV infusion is considered an infusion for billing when delivery lasts more than 15 minutes."

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