AHA Coding Clinic® for HCPCS - 2005 Quarter 1
ASK the EDITOR
When reporting drugs with a revenue code 0636 on a UB-92, the instructions are as follows: “Revenue code 0636 relates to HCPCS code, so HCPCS is the recommended code to be used in FL 44. The specified units of service to be reported are to be in hundreds (100s) rounded to the nearest hundred (no decimal).” Should the specified units of service be completed with the dosage amount given to the patient or by the number of units given based on the HCPCS definition of that drug? ...
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Article Overview
This brief Ask the Editor article explains a billing question involving hospital outpatient drug reporting on UB-92 claims, with emphasis on how HCPCS-based units are reflected in the units-of-service field when revenue code 0636 is involved. It is relevant to coders, billers, and reimbursement staff working with outpatient drug claims and OPPS-era guidance.
Why This Topic Matters
Correct outpatient drug claim reporting affects claim accuracy and consistency with HCPCS-based billing expectations. The article is useful for professionals who need to understand the general framework for reporting drug units on UB-92 claims.
What You Will Learn
- How the article frames a question about outpatient drug reporting on UB-92 claims
- How HCPCS-based drug reporting is discussed in relation to units of service
- What general topic area is tied to OPPS guidance and revenue code 0636
- How the article uses an example to illustrate the reporting issue at a high level
Who Should Read This
- Medical coders
- Hospital outpatient billers
- Revenue cycle staff
- Compliance staff
- Reimbursement specialists
Codes Discussed
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