Because the J7319 decision was reversed after the 2007 HCPCS book was published, CMS has established four temporary Q-codes for the affected drugs for the rest of 2007:
These four new Q-codes are mandatory for billing CMS, but rheumatologists will need to ask private carriers if they are accepting the Q-codes.
The ICD-10 page on the Centers for Medicare & Medicaid Services (CMS) website features a countdown clock that shows the time left until Oct. 1, 2015, the date on which compliance with the new code set becomes mandatory. By the time this issue goes to press, the clock will read 90 or fewer days. Time…
It is essential for coders to understand the rules of engagement, especially when it comes to correct coding and using the most up-to-date coding tools. Those who interact with Current Procedural Terminology (CPT), the International Classification of Diseases (ICD), or insurance companies also have the experience of dealing with the countless coding rules and guidelines.
A guide to ensure proper coding, billing and accurately diagnose patients.
The ACR has compiled guidelines and tips on how to use the JW modifier and correctly bill Medicare for discarded drugs and biologicals. This modifier can be applied only to unused amounts from a single-dose vial or package.