tci Outpatient Facility Coding Alert - 2018 Issue 7

Reader Question: Bill Drug Codes to Facility Outpatient Hospital Setting

Question: Our physician performed a Myobloc injection in order to treat a patient with gastroparesis. Since this was performed in a hospital outpatient surgery center, can the physician bill out for the drug? Massachusetts Subscriber Answer: In this situation, the facility will bill J0587 (Injection, rimabotulinumtoxinb B, 100 units). The physician may only bill for the drug if she performs the procedure in an office setting. Whenever a procedure involving the use of a drug is performed in a facility, such as a hospital outpatient center, the facility will bill for the drug. Remember: In some instances, modifier JW...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.

TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Outpatient Facility Coding Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!