tci Outpatient Facility Coding Alert - 2016 Issue 4

You Be the Coder: Know How to Report S-Codes with Meds, Nurse Visit and Pump Rentals

Question: How do we report S-codes for nurse visits with medicines coupled with pump rental for a patient who is receiving infusion services at home? The patient has been ordered to receive Vancomycin 1 gm BID, Cipro 40mg BID, Nexium 40mg OPD, Clexane 40mg OPD with 24-hour hydration. The order also specifically mentioned nurse visits and pump rental. Ohio Subscriber Answer: The S-codes in HCPCS are temporary national codes established by private payers.  The codes represent drugs, services, and supplies for which there are no national codes but for which codes are needed by the private sector to...

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