Pharmacy Question for the Week of December 21, 2020


What system are drugs furnished to hospital outpatients paid under?


Most drugs furnished to hospital outpatients are packaged under the OPPS. The cost of packaged drugs is separately reportable and recognized by Medicare—however, reimbursement is included with and paid as part of the APC for the service with which they are billed. In other words, no separate payment is received from Medicare for the packaged drug.

This question was answered in our Coding Essentials for Infusion & Injection Therapy Services. For more hot topics relating to infusion services, please visit our store or call us at 1.800.252.1578, ext. 2.

Print Friendly, PDF & Email

CPT® copyright 2022 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.