Respiratory Question for the Week of July 29, 2019


Can you tell me the type of services that CMS considers administrative and are not separately billable?


Certain services, considered by the Centers for Medicare & Medicaid Services (CMS) to be administrative costs are not reimbursed separately. These services are occasionally improperly billed as a supply or as an unlisted HCPCS code. Examples of services that are considered an administrative cost and therefore are not separately billable under any revenue code are as follows:

  • Pharmacy profiles
  • Duplicating films
  • Phone calls
  • STAT fees
  • On-call fees/standby fees
  • Handling fees
  • Nursing time to set up/prepare for a procedure
  • Technician time to set up/prepare for a procedure
  • Additional charges for the use of portable equipment.

This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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