AHA Coding Clinic® for HCPCS - 2013 Issue 2

Reporting drugs and biologicals

The Central Office on HCPCS frequently receives requests for coding assistance pertaining to the correct reporting of drugs and biologicals that fall under HCPCS Level II J-codes. Based on the volume of these requests, we have decided to review some basic guidelines to assist in reporting these codes. CMS has instructed that hospitals should report all appropriate HCPCS codes and charges for separately reportable drugs, in addition to reporting the applicable drug administration codes. Hospitals also are required to report the HCPCS codes and charges for drugs that are packaged into payments for the corresponding drug administration or other...

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