Ask Dr. Z

Seeking clarification on your recommendations for saline fluid bolus challenge with repeat hemodynamics. Based on your reply on 7/6/23 to ID 19099, it appears you are now recommending billing the 93463 for a fluid challenge if there are pre-bolus hemo data, and post-bolus hemo data captured on the report. This goes against a previous recommendation on 10/6/16 for ID 8459 where you did not recommend billing 93463 (appears there was some debate/uncertainty if saline would qualify as a pharmacological agent per the code description). Clarification on your current recommendations is appreciated.