In the 063x range, the most commonly used revenue code is 0636 Drugs requiring detailed coding. This revenue code cannot be billed without a valid HPCPS/CPT code. Another common revenue code is 0637 -self-administrable drugs.
Coverage, as defined by each payer type Novartis Pharmaceuticals Corp. Revenue code. Description. 0636. Drugs requiring detailed coding.
Hospital outpatient revenue codes CPT code for drug administration service Example ICD-10-CM diagnosis codes Code Drug requiring detailed coding Intravenous therapy/pharmacy services Description 0636 0262 Code Description Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
and CPT codes and modifiers; for example: Drug: Q5118 for ZIRABEV Administration: 96xxx for drug administration FL : Specify revenue codes and describe procedures; for example: 0636: Drugs requiring specific identification detailed coding (For ZIRABEV) 0500: Outpatient services general classification
0636: Drugs requiring specific identification – detailed coding. Hospital HBV reactivation is defined as an abrupt increase in HBV replication.
0636 Drugs requiring detailed coding (Pharmacy extension series 063X) Certain classes of drugs that require detailed coding, including chemotherapy drugs, oral antiemetic drugs, immunosuppressive drugs, and others, must be billed with revenue codes 0634, 0635, or 0636 and detailed CPT or HCPCS coding according to UB-04 editor guidelines.
Drugs requiring detailed coding. 0260. IV infusion. 0510. Outpatient clinic Carefully review the definition of discarded drug provided in
2) Outpatient – billing for Drugs that require detail coding (i.e, pharmacy with HCPCS). Are commercial (non-Medicare) claims required to adhere to
Enter the appropriate revenue code for each line item based on hospital billing policy, e.g.: Medicare: 0636 - Drugs requiring detailed coding Other payers: 0250 - General Pharmacy OR 0260 - General Classification (IV Therapy) 0280 - General Classification (Oncology) OR 0636 - Drugs requiring detailed coding (if required by
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