Always bill drug administration with J code
APCs Weekly Monitor, February 4, 2006
Want to receive articles like this one in your inbox? Subscribe to APCs Weekly Monitor!
Always bill drug administration with J code
QUESTION: Our hospital routinely bills an injection CPT code (i.e., 90782, now 90772) along with the specific drug HCPCS code. However, when the HCPCS code has the word "injection" in its title, is it appropriate to also charge the injection (e.g., J7188, Injection, Von Wilebrand factor complex, human, IU)?
ANSWER: When a drug J-code includes the term "injection," it is a merely a naming convention to indicate an injectable drug. It does not mean that the drug administration service is included in the drug J code. Therefore, always code and bill the drug administration service in addition to the J code for the drug.
Want to receive articles like this one in your inbox? Subscribe to APCs Weekly Monitor!
Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- HIPAA Q&A: Level of encryption needed for email
- What does case-mix index mean to you?
- Identify potential Medicaid RAC target areas
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- CMS has reformulated payments for some bilateral procedures
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- What does case-mix index mean to you?
- ED-to-inpatient transfers are flawed with safety gaps
- Searched