CPT Knowledge Base - Jun 16, 2015
Do codes 62310 (REVISED IN 2012) and 62311 (REVISED IN 2012) include both the administration of the injection AND the cost of the drug injected, or do the codes include the administration of the injection only? ...
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Article Overview
This short coding article addresses whether two revised CPT codes include drug cost or only the service component, and it notes general reporting considerations for separately supplied drugs and materials. It is relevant to coders, billers, and reimbursement staff working with procedural coding and payer-specific reporting practices.
Why This Topic Matters
Understanding the boundary between the procedure service and separately reportable supplies or drugs affects claim accuracy and payer compliance. The article is useful for anyone reviewing CPT-based injection reporting and related HCPCS Level II considerations.
What You Will Learn
- The general scope of selected CPT injection administration codes
- How supply and material reporting may be considered alongside a procedure
- That payer preferences may affect whether alternate reporting methods are used for related items
- How the article frames the relationship between procedure coding and drug/supply reporting
Who Should Read This
- Medical coders
- Billing staff
- Reimbursement specialists
- Practice managers
- Compliance teams
Codes Discussed
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