>Know more About the Academy of Couture Art Andrew Shaw Jersey , and Step Ahead in your Fashion Caree Posted by adairsawyer on April 28th, 2012
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The CMS has developed the Healthcare Common Procedure Coding System (HCPCS) for reporting medical procedures and services. Some of the most commonly used HCPCS Level II Codes, J-codes are used for non-orally administered medication, chemotherapy, and immunosuppressive drugs and inhalation solutions as well as some orally administered drugs.
Submitting claims with J-codes:
HIPAA required that all medical providers use standardized coding systems when submitting their claims for services and supplies. J-codes are a part of that system and include drugs that ordinarily cannot be self-administered. In addition, they must meet all the general requirements for coverage of items as the incident to a physician鈥檚 services. Generally Phillip Danault Jersey , prescription and non-prescription drugs and biologicals purchased by or dispensed to a patient are not covered.
It is important that claims are submitted with the most accurate information when billing for injectable medications that are administered in the office during a patient鈥檚 visit. These Level II codes are five characters in length and are comprised of one letter and four numbers. The code for a drug will include the 鈥淛鈥?code, Name of the drug (usually is generic, but can be product specific) and a dosage. However, drugs dispensed to a patient and immunizations are likely not covered by a J code. The use of a J code may be accompanied by a physician鈥檚 procedure-based CPT code. When billing for trigger point injections, make sure to use this J code to report the trigger point drug injected.
Here is an example. A patient receives an injection of 20 mg of adalimumab to temporarily relieve the signs of rheumatoid arthritis. If you received this medical report Karl Alzner Jersey , leaving aside the CPT procedure code and the ICD diagnosis code, you鈥檇 look at the amount of medication and the type of medication. You鈥檇 also know, from going over the HCPCS Level II format, that you鈥檙e looking at a J-code鈥攁 drug administered any way except orally. Therefore, you would look up adalimumab and find the J-code J0135 Jonathan Drouin Jersey , 鈥渋njection, adalimumab, 20 mg.鈥?That鈥檚 your HCPCS Level II code, and that鈥檚 what you鈥檇 put in if you were creating a claim for Medicare, Medicaid Carey Price Jersey , or one of the many other payers that take HCPCS codes.
Take another example, J0456 reads 鈥淚njection, azithromycin, 500mgUse this code for Zithromax鈥? A patient that received up to 500 mg of Zithromax would be billed for J0456 with units of 1. The codes are found in the HCPCS Manual in the 鈥淛 Codes Drugs J0120-J8499鈥?section.
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