AHA Coding Clinic® for HCPCS - 2009 Quarter 1; FOR your INFORMATION
HCPCS codes and dosage descriptors for certain drugs, biologicals, and radiopharmaceuticals newly recognized for CY 2009
The Centers for Medicare & Medicaid Services (CMS) strongly encourages hospitals to report charges for all drugs, biologicals, and radiopharmaceuticals, regardless of whether the items are paid separately or packaged, using the correct HCPCS codes for the items used. Hospitals should make certain that the reported units of service of the reported HCPCS codes are consistent with the quantity of a drug, biological, or radiopharmaceutical that was used in the care of the patient. Under the OPPS, if two or more drugs or biologicals are mixed together for administration, the correct HCPCS codes should be reported separately for each...
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Article Overview
This CMS article is aimed at hospital outpatient coding and billing staff who report drugs, biologicals, and radiopharmaceuticals under the OPPS. It explains the general reporting context for these items and presents newly recognized HCPCS entries for calendar year 2009, helping readers understand whether the page is relevant to their charge capture and code review work.
Why This Topic Matters
Accurate reporting of drugs, biologicals, and radiopharmaceuticals affects hospital outpatient claim processing and code selection. The article helps readers identify which HCPCS entries were newly recognized for CY 2009 and understand the broader CMS context for reporting these items.
Article Sections
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CMS guidance on reporting drugs, biologicals, and radiopharmaceuticals
General CMS context for reporting outpatient drugs, biologicals, and radiopharmaceuticals is presented, including the setting and scope of the guidance.
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New HCPCS codes for certain drugs, biologicals and radiopharmaceuticals
A list of newly recognized HCPCS entries for calendar year 2009 is provided for hospital outpatient reporting reference.
What You Will Learn
- The CMS reporting context for outpatient drugs, biologicals, and radiopharmaceuticals
- That the article focuses on HCPCS entries newly recognized for calendar year 2009
- Which general categories of items are addressed in the hospital outpatient setting
- How the article is organized around CMS guidance and new code recognition
Who Should Read This
- Hospital outpatient coders
- Charge capture staff
- Outpatient billing professionals
- Revenue cycle teams
- Coding compliance staff
Codes Discussed
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