Chemotherapy and Hydration

What are the rules when billing chemo admin with hydration. When is it bundled and when not...and does Medicare have any specific rules?

I am very new to this (like 3 seconds ago) and was told you cannot bill hydration with chemo, but per the CPT book, under 96413, it says it "EXCLUDES hydration administered as secondary or subsequent service via same IV access site (96361)"

I don't normally touch coding for this particular outpatient clinic, but have had a project given to me, so any help would be greatly appreciated.

Hydration

Hydration services may not be concurrent but may be sequential . If drugs are mixed in fluid and infused, this is not reportable as hydration. If a "free flowing IV" is required for the chemotherapeutic agent to be safely infused, this is
considered incidental hydration and not separately reportable.
So, it is true that hydration cannot be separately billed if given at same time you are administering chemo. drugs. It can be billed separately when medically necessary and before or after the chemo. drugs. Hydration is intended to be used when hydration infusion consisting of pre-packaged fluid and electrolytes is performed. Any hydration, therapeutic, or chemotherapeutic infusion occurring at the same time and through the same IV access as another reportable initial or subsequent infusion is a concurrent infusion(s). Concurrent administration of hydration is not billable.

Hydration With Chemo

[Hydration services may not be concurrent but may be sequential . If drugs are mixed in fluid and infused, this is not reportable as hydration. If a "free flowing IV" is required for the chemotherapeutic agent to be safely infused, this is
considered incidental hydration and not separately reportable.
So, it is true that hydration cannot be separately billed if given at same time you are administering chemo. drugs. It can be billed separately when medically necessary and before or after the chemo. drugs. Hydration is intended to be used when hydration infusion consisting of pre-packaged fluid and electrolytes is performed. Any hydration, therapeutic, or chemotherapeutic infusion occurring at the same time and through the same IV access as another reportable initial or subsequent infusion is a concurrent infusion(s). Concurrent administration of hydration is not billable.]

Agree totally with the above...but, also, hydration may only be billed separately when it is over thirty minutes in duration...