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AHA Coding Clinic® for HCPCS - 2004 Issue 4

CMS changing from Q codes to CPT codes for drug administration

Effective January 1, 2005, CMS will require hospitals to use CPT codes to report drug administration services rather than Q codes. This change is welcomed by hospitals as it will lessen the hospital burden and facilitate the development of more accurate payment rates for drug administration in future years. Hospitals already use CPT codes to report these services to nonMedicare payers. Since implementation of the OPPS, Medicare OPPS payment for administration of cancer chemotherapy drugs and infusion of other drugs has been made using the following HCPCS codes: Q0081, Infusion therapy other than chemotherapy, per visit Q0083, Administration of...

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