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Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)

CPT4 code

Name of the Procedure:

Intravenous Infusion, Hydration (IV Hydration)

Summary

IV Hydration involves administering fluids directly into a vein through an IV catheter. This procedure is typically used to treat dehydration and ensure that patients receive essential fluids to maintain body function.

Purpose

IV Hydration addresses conditions of dehydration, where the body is low on fluids due to various reasons such as illness, excessive sweating, or insufficient intake of fluids. The goal is to replenish fluids quickly, improve electrolyte balance, and ensure proper hydration status.

Indications

  • Symptoms of dehydration (e.g., dry mouth, dizziness, low urine output)
  • Severe vomiting or diarrhea
  • High fever
  • Heat-related illnesses
  • Conditions requiring oral fluid restriction
  • Support during or after surgery

Preparation

  • No special preparation is typically required.
  • Patients should inform their healthcare provider about any medications they are taking or allergies they have.

Procedure Description

  1. The healthcare provider explains the procedure and obtains consent.
  2. An IV catheter is inserted into a vein, usually in the arm.
  3. The IV bag containing a sterile solution (e.g., saline, electrolytes) is connected to the catheter.
  4. The fluid is infused at a controlled rate, monitored carefully throughout the procedure.
  5. The primary procedure is performed, and if required, the additional hour(s) of IV hydration are administered separately.

Duration

The primary IV hydration session may last 30-60 minutes. Each additional infusion hour is recorded separately, extending the duration accordingly.

Setting

Performed in various settings, including hospitals, outpatient clinics, and surgical centers.

Personnel

  • Nurses
  • Physicians
  • Medical Technicians

Risks and Complications

  • Minor pain or discomfort at the IV site
  • Infection at the injection site
  • Phlebitis (inflammation of the vein)
  • Fluid overload if not monitored correctly

Benefits

  • Rapid improvement in hydration levels
  • Stabilization of vital signs
  • Reduction of dehydration symptoms
  • Enhanced recovery and overall well-being

Recovery

  • Patients can usually resume normal activities shortly after the procedure.
  • Instructions may include monitoring the IV site for signs of infection or irritation.
  • Follow-up appointments if the underlying condition requires further treatment.

Alternatives

  • Oral rehydration solutions
  • Hydration with drinks and foods high in water content
  • Pros: Non-invasive, can be done at home.
  • Cons: Slower rehydration rate, may be ineffective in severe dehydration.

Patient Experience

  • Minimal discomfort during the IV insertion.
  • Some patients may feel cold due to the infusion.
  • Pain management focuses on ensuring the IV site is comfortable and monitoring for any adverse reactions.
  • Post-procedure, patients often feel an immediate sense of relief and improved hydration.

Medical Policies and Guidelines for Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)

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