K5A Coding IV Piggybacks

[GWooten]

In the RAI update listed below, CMS seems to be saying that  if an IV medication was given in a 100ml bag hung by it self, it can be counted as both IV Fluid ( Do include the IV Fluids in the IV piggybacks.) and in P1ac IV medications. My first impression is that an IV ABT in the 100ml bag normal saline for example would be counted only for IV medication. Others are saying that it would count for both IV Fluids(100ml) and IV meds. -- does it count as one or both --it can make a real difference if this is a PPS resident?

CHANGES TO THE DECEMBER 2002 RAI MANUAL, VERSION 2.0   AUGUST 2003

Parenteral/IV - Intravenous (IV) fluids or hyperalimentation, including total parenteral nutrition, given continuously or intermittently. This category also includes administration of fluids via IV lines with fluids running at KVO (Keep Vein Open), or via heparin locks. This category does not include administration of IV medications. Do not code IV âpushâ medications here. Do include the IV fluids in IV piggybacks. IV medications dissolved in a diluent, as well as IV push medications are captured as IV medications in P1ac. Do not include IV fluids that were administered as a routine part of an operative procedure or recovery room stay. Do not include insulin administered intravenously. CH 3 3-154
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Garnett Wooten RN
Case Mix  Manager
Southern Healthcare, LLC
904-612-9893