AHA Coding Clinic® for HCPCS - 2005 Issue 4

Coding and payment for drug administration in CY 2006

The Centers for Medicare & Medicaid Services (CMS) has announced in the Outpatient Prospective Payment System (OPPS) Final Rule, released on November 7, 2005, that they are continuing their current policy of using CPT codes to bill for drug administration services provided in the hospital outpatient department for CY 2006. CMS has chosen to adopt 20 of the 33 drug administration CPT codes for billing and payment under the OPPS. Please note that the CPT codes for drug administration are newly revised and created by the American Medical Association starting 2006. The Outpatient Code Editor (OCE) logic used in...

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