Intravenous infusion for therapy/diagnosis, administered by physician or under direct supervision of physician; each additional hour, up to eight (8) hours (List separately in addition to code for primary procedure) (Deprecated)
CPT4 code
Name of the Procedure:
Intravenous Infusion for Therapy/Diagnosis (Administered by Physician or Under Direct Supervision of Physician; Each Additional Hour, up to Eight Hours)
Summary
An intravenous (IV) infusion that delivers fluids, medications, or nutrients directly into a patient's bloodstream. It is overseen by a physician or administered under the direct supervision of a physician. This is billed in addition to the primary procedure, for each additional hour required, up to eight hours.
Purpose
Medical Condition or Problem Addressed
Used to treat dehydration, administer medications, deliver nutrients, or perform diagnostic tests.
Goals or Expected Outcomes
To ensure precise delivery of therapeutic agents, maintain fluid balance, and provide a diagnostic analysis if needed.
Indications
Symptoms or Conditions
- Severe dehydration
- Requirement for extended medication administration
- Nutritional support deficiency
- Need for diagnostic testing that involves IV contrast ##### Patient Criteria
- Patients needing prolonged infusion therapy
- Individuals unable to take oral medications
- Patients requiring continuous monitoring during drug administration
Preparation
Pre-Procedure Instructions
- Fasting may be required if certain medications or nutrients are administered.
- Adjustments to regular medications may be necessary. ##### Diagnostic Tests or Assessments
- Blood tests to ensure proper kidney function and electrolyte balance
- Vital signs assessment prior to the initiation of the infusion
Procedure Description
- A healthcare professional confirms patient identity and gathers necessary medical history.
- The patient is positioned comfortably.
- The insertion site is cleaned with antiseptic.
- A catheter is inserted into a suitable vein, most commonly in the arm.
- The catheter is connected to an IV line, through which fluids are infused.
- Continuous monitoring is conducted to adjust the flow rate and ensure correct administration.
##### Tools and Equipment
- IV catheter
- IV line
- Infusion pump
- Antiseptic solutions ##### Anesthesia or Sedation
- Local anesthesia may be applied at the insertion site to minimize discomfort.
Duration
Typically involves an hour-long session, with each additional hour documented up to eight hours.
Setting
Administered in various settings including hospitals, outpatient clinics, and sometimes at home under direct physician supervision.
Personnel
- Physician
- Registered Nurse (RN)
- Medical Assistant or IV Technician
Risks and Complications
Common Risks
- Mild pain or discomfort at the insertion site
- Bruising or swelling ##### Rare Risks
- Infection at the insertion site
- Allergic reactions to administered substances ##### Complications and Management
- Rapid response protocols for allergic reactions
- Sterile techniques to minimize infection risk
Benefits
- Effective management of dehydration, medication delivery, and nutritional support.
- Quick onset of medications due to direct bloodstream delivery. ##### Realization Time Benefits are often observed immediately or within a few hours.
Recovery
Post-Procedure Care
- Monitoring of the insertion site for signs of infection
- Maintaining proper hydration ##### Expected Recovery Time
- Typically involves minimal recovery time; patients can often return to normal activities shortly after. ##### Restrictions or Follow-Up
- Follow-up appointments to monitor any long-term effects.
Alternatives
Other Treatment Options
- Oral medication administration
- Subcutaneous injections ##### Pros and Cons
- Oral medications are non-invasive but may not be suitable for those with digestive issues.
- Subcutaneous injections are less invasive but are limited in volume and types of medication that can be administered.
Patient Experience
During the Procedure
- Mild discomfort from needle insertion
- Sensation of coolness as fluids enter the bloodstream ##### After the Procedure
- Minimal pain or discomfort at the insertion site ##### Pain Management and Comfort Measures
- Local anesthesia to numb the insertion site
- Warm blankets and comfortable seating arrangements during the infusion