Pharmacy Question for the Week of January 16, 2017
In Addendum B of the hospital OPPS, I see several different SIs listed for drugs. What do these letters indicate?
In Addendum B of the hospital OPPS, I see several different SIs listed for drugs. What do these letters indicate?
If a treating physician orders an automated hemogram (CPT code 85027) and a manual differential WBC count (CPT code 85007), can both codes be reported for Medicare patients?
We were told we should bill code 96374 for administration of LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use with echocardiogram with contrast, but we are getting denials for this code. Is there another code we should use?
We received what’s called a “demand letter” from our MAC. What do we do about this?
We are trying to develop a document that helps physicians document the need for home oxygen therapy. Can you provide any guidance about this?
A physician ordered a neck computed tomography (CT) for indication of a palpable neck mass. A few CT images were obtained without contrast with a lead BB (opaque marker) to mark the mass, followed by a complete neck CT with contrast. Is it justified to submit a claim for a CT of the neck without and with contrast?
For this year, how will DME infusion drugs be paid by Medicare?
In addition to a written document, are there other ways that an order may be delivered to a lab?
If non-selective renal angiography is performed at the time of a dagnostic cardiac catheterization, should level ll HCPCS code G0275 be reported? Is this code for hospitals or physician billing? Is this code for Medicare or non-Medicare patients?
What is the intent of code 93463?
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