AHA Coding Clinic® for HCPCS - 2017 Issue 3; For Your Information

New modifier for biosimilar biological product

For Medicare, hospitals outpatient facilities must report the required modifier to appropriately report biosimilar biological products. The modifier is used to distinguish between biosimilar products that appear in the same HCPCS code but are made by different manufacturers. The first modifier, specifically “ZB” was effective July 1, 2016, and the second modifier, specifically, “ZC” will be effective October 1, 2017. Modifier ZB or ZC must be reported with HCPCS code Q5102 (Injection, infliximab, biosimilar, 10 mg). Hospitals are advised to contact their respective payer to determine the payment effective date for each of the modifier. HCPCS Modifier...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.


The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.