decisionhealth Newsletters, Coder Pink Sheets - 2003 Issue 9 (September)
Injection of drugs from other sources: You can bill for administration, Medicare says
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Article Overview
This article covers a Medicare policy clarification affecting billing for administration of covered injectable drugs that are not usually self-administered. It is relevant to physician practices, coders, and billing staff who handle office-administered medications and need to understand how Medicare treats drugs obtained through other channels, including no-cost supply situations. The discussion centers on a policy change and its implications for administration billing under Medicare guidance.
Why This Topic Matters
It helps practices understand when administration charges may be considered separately billable under Medicare even when the physician did not purchase the drug, which affects reimbursement workflows and office medication management.
What You Will Learn
- The general Medicare policy issue addressed by the article
- How the article frames office-based administration billing for injectable drugs
- Why the policy matters for practices that receive medications from nontraditional sources
- The role of a Medicare transmittal and manual guidance in the update
Who Should Read This
- Medical coders
- Billing staff
- Urology practices
- Physician office managers
- Compliance staff
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