Question:
Do we use HCPCS code J0285 when billing amphotericin for irrigation?
Answer:
When a drug or fluid is used for a procedure for the purposes of irrigation rather than for injection or infusion, the hospital may elect to bill the drug or fluid with only an applicable revenue code (e.g., 250).
Although not applicable for your scenario, note that the Centers for Medicare & Medicaid Services’ 2018 Table of Drugs indicates that when amphotericin is administered intravenously, you may encounter a billing edit for code J0285. For the Table of Drugs, go to https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Downloads/2018-Table-of-Drugs.pdf.
CPT® copyright 2024 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.
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