AHA Coding Clinic® for HCPCS - 2009 Issue 2; FOR your INFORMATION

Reporting Multiple HCPCS Codes for Drug

Historically, CMS has provided instructions to report only the lowest available administrative dose of a drug if multiple HCPCS codes existed for the drug. As of January 1, 2008, the outpatient prospective payment system (OPPS) has recognized each HCPCS code, regardless of the units identified in the drug descriptor. According to information provided by CMS, hospitals now have the option to report multiple HCPCS codes for a single drug administered, or continue to bill the HCPCS code with the lowest dosage descriptor available. This information can be found in CY 2008 OPPS/ASC Final Rule, 72 FR 66775-66776 dated November...

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