AHA Coding Clinic® for HCPCS - 2008 Quarter 2; FOR your INFORMATION
Reporting multiple HCPCS codes for drugs
Hospitals are now given the option to report multiple HCPCS codes for a single drug, or to continue billing the HCPCS code with the lowest dosage descriptor available. Since January 1, 2008, under the outpatient prospective payment system (OPPS) each HCPCS code for a Part B drug regardless of the units identified in the drug descriptor is being recognized by Medicare. Previously, under the OPPS only the lowest descriptor available for the administrative dose of a drug if multiple HCPCS codes existed was recognized. ...
Subscribe or sign in to view the full article.
Article Overview
This short coding update addresses a Medicare outpatient prospective payment system change related to reporting HCPCS drug codes for Part B drugs. It is relevant to hospital outpatient coders, billing staff, and revenue cycle teams who need to understand the high-level policy shift and its timing. The article focuses on the general reporting options available under the updated framework and the prior approach it replaced.
Why This Topic Matters
Understanding this OPPS update helps hospital billing teams align outpatient drug reporting practices with Medicare’s recognized approach and avoid confusion when multiple HCPCS options exist for a single drug.
What You Will Learn
- How the article frames the OPPS change for hospital drug reporting
- What broad reporting options are discussed for HCPCS drug billing
- How the article situates the January 1, 2008 timing of the policy change
- What prior outpatient drug reporting approach is described at a high level
Who Should Read This
- Hospital outpatient coders
- Billing staff
- Revenue cycle teams
- Compliance staff
- Health information management professionals
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com