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Sodium Bicarbonate Infusion

January 25, 2017
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Question:

We are a hospital (technical) setting. Can we bill for a sodium bicarbonate infusion when it is done in conjunction with a CT scan with contrast to prevent Contrast-Induced Nephropathy?

The NCCI edit leans towards a yes, with an appropriate modifier.  The bicarbonate is infused to help the patient’s body accept/take the contrast.

Answer:

As the use of sodium bicarbonate infusion would be patient-specific, used prophylactically and is not considered integral to the CT scan, then the infusion may be billed separately. The use of an appropriate CCI modifier, as suggested, will be required to accurately report this service.

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