Code Detail

Previous Feature Using correct HCPCS codes when filing claims is the key to ensuring that your hospital/health system will receive the correct payment from Medicare. DrugReimbursement.com has been greatly enhanced to provide you with a unique layout and centralized access to a more complete set of HCPCS/CPT drug codes and related referential data.

Reduce research time and improve billing accuracy by understanding quickly whether a code carries an edit or is covered by Medicare. Coding guidelines, HCPCS annotations and CPTz,® code section notes and lay descriptions are attached appropriately to every code to help you select the correct codes quickly. Special icons alert you to new, revised, or deleted codes and quality issues.

New data accessible from the Code Detail page includes:
  • Over 14,000 HCPCS and/or CPT® codes for billing purposes
  • Lay descriptions, usage notes and annotations for all established HCPCS and CPT® drug codes
  • Direct drug code links to CMS transmittals and coverage policies
  • Medicare allowable Part B ASP and OPPS and NOC payment rates associated with reimbursable HCPCS and/or CPT® codes
  • APC group and OCE edits linked to drug codes
  • Crosswalks to revenue codes for UB-92 billing, alternate OPPS codes, and related NDCs.
  • Color codes to indicate payment status under OPPS, coverage status, code status
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