Drugs and Biologicals with Outpatient Prospective Payment System (OPPS) Pass-Through Status Effective October 1, 2015
o For October 2015, two new HCPCS codes have been created and are shown in Table 1 below for reporting drugs and biologicals in the ASC setting with OPPS pass-through status, where there have not previously been specific codes available.
HCPCS Code Short Descriptor Long Descriptor ASC PI
C9456 Inj, isavuconazonium sulfate Injection, isavuconazonium sulfate, 1 mg K2
C9457 Lumason contrast agent Injection, sulfur hexafluoride lipid microsphere, per ml K2
• New HCPCS Codes and Dosage Descriptors for Certain Drugs, Biologicals, and Biosimilar Biological Products
o Effective October 1, 2015, one new HCPCS code has been created for reporting drugs and biologicals in the ASC setting, where there have not previously been specific codes available. This new code is listed in Table 2 below.
HCPCS Code Short Descriptor Long Descriptor ASC PI
Q9979 Injection, alemtuzumab Injection, alemtuzumab, 1 mg K2
Ambulatory surgical center billing code guidelines and how to get payment from insurance. ASC denial, CPT CODES , Authorization and referral Guide. Multiple procedure, Surgical procedure tips. What to get the correct reimbursement in ASC billing setup. SNF billing Guide, tips to use correct CPT AND POS.
Wednesday, October 7, 2015
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