AHA Coding Clinic® for HCPCS - 2008 Issue 3; FOR your INFORMATION

Reporting drugs and biologicals when used as implantable devices

Under the OPPS, hospitals typically are not to separately report drug and biological HCPCS codes. Additionally, hospitals are provided a packaged APC payment for surgical procedures that includes the costs of implantable devices without pass-through status. The exception to this rule is when a drug or biological with pass-through status is used as an implantable device during a surgical procedure. In these instances, hospitals have the following three options: Include the charges for these items in their charge for the procedure Report the charge on an uncoded revenue center line, or Report the charge under a device HCPCS code...

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