AHA Coding Clinic® for HCPCS - 2003 Issue 2

OPPS final rule “clears” the air on self-administerable drugs

by Kathy ReepVice-PresidentFlorida Hospital Association The final rule on changes to the outpatient prospective payment system contained in the November 1 Federal Register also includes clarification on various policies related to hospital pharmacy services, particularly the provision of self-administerable drugs to hospital outpatients. Key provisions of the final rule are as follows: Drugs packaged as supplies. The final rule provides coverage, although no separate payment, for those drugs that are directly related and integral to performing a procedure or furnishing a service on an outpatient basis. The Centers for Medicare & Medicaid Services (CMS) considers these drugs, whether self-administerable...

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