AHA Coding Clinic® for HCPCS - 2007 Quarter 4; FOR your INFORMATION
Drug administration
OPPS FINAL RULE The following information was posted in the November 27, 2007, Outpatient Prospective Payment System (OPPS) final rule at www.cms.gov. Drug administration For CY 2008, CMS did not make any changes to the payment of drug administration services. However, CMS is continuing to ask hospitals to report all CPT drug administration codes and expects hospitals to report CPT codes consistent with CPT coding guidelines and applicable instructions. This includes the new 2008 CPT codes listed below. 90769 —Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to one hour, including pump...
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Article Overview
This article summarizes a CMS outpatient payment update related to drug administration reporting in the hospital setting. It explains that the focus is on CPT-based reporting for these services and references the CPT additions highlighted in the 2008 update. The content is relevant to hospital billing staff, coders, and reimbursement professionals who track OPPS policy changes and CPT drug administration guidance.
Why This Topic Matters
Drug administration reporting under OPPS affects how hospitals capture and report services in the outpatient setting. The article helps readers understand the scope of the CMS update and identify the CPT drug administration codes highlighted in the rule.
Article Sections
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OPPS Final Rule
Introduces the CMS outpatient payment rule context and the general subject of hospital reporting for drug administration services.
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Drug administration
Summarizes the payment-year update and the reporting focus for hospital CPT drug administration services, including the referenced code additions.
What You Will Learn
- How the article situates drug administration within the CMS OPPS final rule
- What broad reporting focus is discussed for hospital CPT drug administration services
- Which general CPT drug administration additions are referenced in the update
- What type of outpatient payment context the article addresses
Who Should Read This
- Hospital coders
- Outpatient billing staff
- Revenue cycle professionals
- Compliance staff
- Reimbursement analysts
Codes Discussed
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