Health Information Management

Q&A: Reporting Not Otherwise Classified code for drugs

JustCoding News: Outpatient, May 30, 2012

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QUESTION: When would you use the table labeled as not otherwise classified (NOC) drugs at the end of the HCPCS Level II Table of Drugs and Biologicals? Many other drugs are not assigned a HCPCS code and are not in this table.

ANSWER: You would report an NOC drug when the documentation states that a healthcare professional administered one of these drugs to a patient.

When a provider documents administering a pharmaceutical that is not immediately identifiable in the HCPCS Level II Table of Drugs and Biologicals, you need to check a Physician’s Desk Reference. This book includes ALL legal drugs (prescription and over-the-counter). Look for the drug’s brand name, generic name, and classification. You should be able to find the drug that was administered on the table using one of these alternate terms.

Editor’s note: Shelley C. Safian, PhD, MAOM/HSM, CCS-P, CPC-H, CHA, of Safian Communications Services in Orlando, Fla., answered this question. She is a senior assistant professor who teaches medical billing and insurance coding at Herzing University Online in Milwaukee, Wis. Email her at ssafian@embarqmail.com.

This answer was provided based on limited information submitted to JustCoding. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment.

Need expert coding advice? Submit your question to Senior Managing Editor Michelle Leppert, CPC-A, at mleppert@hcpro.com, and we’ll do our best to get an answer for you.



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