-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Billing Doxycyline
- Thread starter kabreu
- Start date
thomas7331
Guest
This drug does not have an assigned HCPCS code so J3490 would be the appropriate code to bill.
rleif1sun
Guru
if oral doxycycline given to patient at office visit is it billable? couldn't fine code for oral doxycycline
SharonCollachi
Guest
Most oral drugs go thru the patient's pharmacy benefit, not their medical benefit. Your best bet is to write them a prescription.
rleif1sun
Guru
so there is no code for when provider purchase these drugs and have the patient take orally during visit when performing procedure in the office?
azithromycin code is Q0144. no code for doxycicline?
thomas7331
Guest
Codes are not routinely created for oral/self-administered drugs - there would simply be too many codes. Per the note in HCPCS in the J code section: These codes are used to report injectable drugs that ordinarily cannot be self-administered; chemotherapy, immunosuppressive drugs and inhalation solutions as well as some orally administered drugs. There may be codes assigned for a few oral drugs, but that would be the exception and not the rule.
If you need to submit a charge for a drug for which there is no code, you will just need to use an unlisted code and attach the specific NDC and drug information so that the drug is correctly identified. But as mentioned in the previous posts, self-administered medications are often not covered under medical plans (including Medicare) because payers consider this a pharmacy plan benefit.