Priority Health understands the significant challenges the recent IV fluid shortage has caused, and they want to ensure as little disruption to care for members, your patients, as possible.

They’ll temporarily allow inpatient and outpatient facilities to administer subcutaneous fluids (CPT codes 96372 and 96373) in lieu of IV fluids (CPT codes 96360 and 96361), at the frequency / volume needed, from October 1 to November 1, at this point they’ll reassess the need.

To support this effort, Priority Health has:

• Adjusted the frequency edits for subcutaneous fluids CPT codes (96372 and 96373), as they anticipate more units than typical may need to be administered to achieve the same fluid volume that would be achieved through IV administration.
• Paused the IV fluid notification requirement for inpatient authorizations.
• Informed their post-pay audit vendors of this exception to avoid unnecessary claim audits.