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August 2016

Be sure to follow intravenous solution billing requirements

For physician office infusion therapy, providers must follow the Current Procedural Terminology coding system and Blue Cross Blue Shield of Michigan requirements regarding the billing of IV solutions.

The J-codes for IV solutions are only billable when the infusion is for actual hydration. Any IV solutions used to administer or prepare medication are considered inclusive and not paid separately. IV solutions used to keep the vein open for pre- or post-therapy administration are considered incidental and not paid separately.

Be sure you adhere to these requirements.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than CPT codes, descriptions and two-digit numeric modifiers only are copyright 2015 American Medical Association. All rights reserved.