Advanced Search

Urology Coding Alert

Reader Question:

Zoladex in OPD

Published on Wed May 01, 2002

Question: How should we bill for giving a Zoladex injection in the hospital outpatient department (OPD)? We are being paid for it in the office, but not in the OPD. Mississippi Subscriber Answer: The hospital bills for the Zoladex. The charge for the nurse giving the injection (96400, Chemotherapy administration, subcutaneous or intramuscular, with or without local anesthesia) is included in the hospital cost report, so you won't receive reimbursement for performing it in the OPD but you don't have to pay any up-front money for the drug, either.  
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Urology Coding Alert

View All