AHA Coding Clinic® for HCPCS - 2003 Quarter 2; For your information
Billing and reporting of other drugs, contrast media, and radiopharmaceuticals
CMS has instructed the hospitals to use the new HCPCS code C9202 instead of code A9700 to bill for Microspheres and Octafluoropropase (Optison). Code C1207, Ocetreotide acetate, 1 mg, was listed as a deleted code since January 1, 2003. Per CMS, effective 4/1/2003, HCPCS code C1207 was reinstated and should be used to report Octreotide acetate depot, 1mg. HCPCS code C1207 will continue to be paid under APC 1207 for services provided on or after April 1, 2003. Hospitals are instructed to report HCPCS code J1563 , Immune globulin, 1g and J1564 , Immune globulin, 10mg, to bill for intravenous immune...
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Article Overview
This article covers CMS instructions affecting hospital billing for certain drugs, contrast media, and radiopharmaceuticals under HCPCS. It explains a code replacement and reinstatement issue, notes an APC reference, and discusses reporting of intravenous immune globulin with unit-based examples. The content is relevant to hospital coders, billing staff, and revenue cycle teams working with outpatient drug reporting.
Why This Topic Matters
Accurate reporting of drugs and related supplies can affect claim submission, payment processing, and compliance with current CMS guidance. The article helps billing teams identify which HCPCS updates and reporting patterns are addressed for these hospital services.
What You Will Learn
- Which CMS billing topics are addressed for hospital drug and radiopharmaceutical reporting
- How the article frames HCPCS code update and reinstatement information
- What general reporting guidance is discussed for intravenous immune globulin in the hospital setting
- How the included examples illustrate unit-based reporting scenarios at a high level
Who Should Read This
- Hospital coders
- Outpatient billing staff
- Revenue cycle specialists
- Compliance staff
- Charge capture teams
Codes Discussed
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