tci Part B Insider - 2005 Issue 33

Part B Coding Coach: Your Top 7 Drug Waste Coding Questions Answered

Don't miss your chance to get paid for a full vial of Botox no matter how much you administerThe next time your practice must discard the remainder of a vial, turn to this Q&A to be sure you won't end up on Medicare's audit list for your coding choices. Question 1: Is there a Medicare policy on coding drug waste? Answer: Medicare's Claim Processing Manual includes a can't-miss entry on "Discarded Drugs and Biologicals," available at www.cms.hhs.gov/manuals/104_claims/clm104index.asp (Chapter 17, section 40).The policy, applicable to single-use vials, tells you that if you "must...

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