Avoid denials for infusion pump drugs

Why This Topic Matters

Infusion-pump drug billing can involve different claim pathways and administrative requirements depending on where the drug is administered and how the pump is obtained. Understanding the general framework helps practices reduce denials and avoid billing missteps.

Article Sections

1. Billing drugs administered through infusion pumps

   Introduces the topic and frames the article around common confusion in drug billing for infusion pump services. It sets up the Medicare-related issues discussed later in the article.

2. Office and home billing guidance

   Summarizes general billing pathways for drugs administered in the office or at home and notes the role of durable medical equipment-related claims. It also references program and supplier guidance relevant to these transactions.

3. Medicare pump rental and drug supply considerations

   Discusses Medicare durable medical equipment rules associated with infusion pumps over time and addresses how related drug supply billing is handled under those rules. The section also references carrier-specific administration guidance.