Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)
CPT4 code
Name of the Procedure:
Intravenous Infusion, for Therapy, Prophylaxis, or Diagnosis; Additional Sequential Infusion of a New Drug/Substance, up to 1 Hour
Summary
An intravenous (IV) infusion is a procedure in which medications or substances are delivered directly into a patient's vein. This specific procedure involves the administration of an additional new drug or substance sequentially after the initial infusion, taking up to one hour. It is used for treatment, prevention, or diagnostic purposes.
Purpose
The procedure is used to manage various medical conditions by delivering fluid, medications, or nutrients directly into the bloodstream. It helps in hydrating the body, administering medications quickly, or performing diagnostic tests.
Indications
- Severe dehydration
- Severe infections requiring IV antibiotics
- Administration of chemotherapy
- Managing chronic pain with IV painkillers
- Diagnostic tests requiring contrast agents
- Delivery of medication for prophylaxis against certain conditions
Preparation
- Maintain prescribed fasting hours before the procedure if necessary.
- Inform the healthcare provider about any current medications, allergies, or existing medical conditions.
- Pre-procedure blood tests or imaging may be required for diagnostic purposes.
- Follow any specific instructions provided by the healthcare team.
Procedure Description
- Patient Preparation: The patient is positioned comfortably, and vital signs are monitored.
- IV Insertion: The healthcare provider cleans the insertion site, typically on the arm, and inserts an IV catheter.
- Primary Infusion: The primary prescribed drug or substance is infused through the IV line.
- Switching to New Drug: After the primary infusion, the IV line is prepared for the sequential infusion of the new drug or substance.
- Sequential Infusion: The new drug/substance is infused over the next hour.
Monitoring: Vital signs and the IV site are checked regularly throughout the procedure.
Equipment used includes an IV catheter, IV tubing, infusion pump, and necessary medication vials. Minimal sedation may be used if the patient experiences discomfort or anxiety.
Duration
The additional sequential infusion of a new drug/substance typically takes up to 1 hour.
Setting
The procedure is performed in various settings including hospitals, outpatient clinics, or surgical centers.
Personnel
- Nurses skilled in IV administration
- Physicians or specialists overseeing the treatment
- Pharmacists for medication preparation
Risks and Complications
- Common: Pain or bruising at the insertion site, slight risk of infection
- Rare: Allergic reactions, phlebitis, infiltration, air embolism
- Management involves close monitoring and prompt intervention for any complications.
Benefits
- Rapid delivery of medication
- Efficient management of severe or acute medical conditions
- Immediate relief or therapeutic effect
- Accurate diagnostic results
Recovery
- Post-procedure monitoring for any immediate adverse reactions.
- Patients can usually resume normal activities shortly after the procedure.
- Follow the post-procedure instructions on fluid intake and medication.
- Schedule follow-up appointments as directed.
Alternatives
- Oral medications: Slower absorption and onset of action.
- Subcutaneous or intramuscular injections: Suitable for different types of medications.
- Pros and cons vary based on the specific medical needs and conditions of the patient.
Patient Experience
- Brief discomfort during IV insertion.
- Possible sensation of cold as the substance enters the vein.
- Minimal discomfort with proper pain management.
- Overall, the experience is typically well-tolerated with appropriate medical care and supervision.
Kindly follow all pre-procedure and post-procedure instructions from your healthcare provider to ensure the best outcomes.