Q&A: Rejections for compounded drug combinations
APCs Insider, October 2, 2015
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Q: We have been receiving rejections on claims including a line item for a compounded drug. We have applied modifier –JF (compounded drug) appropriately and the HCPCS code and units are correct. We can’t figure out what has been happening.
A: Modifier –JF was used until June 30, 2015. In the July update to OPPS, CMS retired this modifier and replaced it with HCPCS Level II code Q9977 (compounded drug, not otherwise classified), which became effective July 1, 2015. This HCPCS code should be used to report compounded drug combinations.
Editor’s note: Denise Williams, RN, CPC-H, seniorvice president of revenue integrity services at Revant Solutions, in Fort Lauderdale, Florida, answered this question.
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
Most Popular
- Articles
-
- CMS puts hospital surveys on limited hold as surge continues
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Q&A: Primary, principal, and secondary diagnoses
- The consequences of an incomplete medical record
- Nursing responsibilities for managing pain
- Skills of effective case managers
- OB services: Coding inside and outside of the package
- ICD-10-CM coma, stroke codes require more specific documentation
- E-mailed
-
- CMS puts hospital surveys on limited hold as surge continues
- Charge and bill Medicare all pre-operative diagnostic tests
- Know guidelines and subtle differences in code descriptions for laceration repairs
- How to create a safety protocol for emergency department psychiatric patients
- Get the facts on emergency department FAST exams
- Understand how to report services during the global period for minor surgeries
- Study: Male residents are twice as likely to interrupt
- Q&A: Report separately payable drugs under revenue code 0636
- Q&A: Mechanical room storage, risk assessments, patient rooms
- Capturing start and stop times for infusions
- Searched