kristidozier
Guest
I am trying to do a cheat sheet for our charge entry department for Medications administered HCPCS billing. I have started a cheat sheet and want to know if I am on the right track, then to see if anyone else has done a cheat sheet that they can share. We need to get to NDC Qty for claim and Billing Units for claim.
Her is what I have started. Any guidance or comments would be welcome!
Her is what I have started. Any guidance or comments would be welcome!
Administered Medicine | Dosage Administered to Patient (*include any amount wasted) | NDC Verified with CCE Stock Herm | HCPCS Code and given Unit in code book | Calculation (Dosage /units found in HCPCS code) | HCPCS Qty Code Billing Units | NDC Information on vial/box | Conversion Factor (CF) (HCPCS unit from code description divided by NDC unit from vial/box) | NDC Billing Units (HCPCS Qty x CF) |
Bicillin L-A PF Syringe (Penicillin G Benzathine) | 600mg (600,000 units) | 60793-0700-01 | J0561 per 100,000 units | 600,000/100,000 = 6 | 6 | 600mg/ml syringe | 100,000/600,000 = .17 | 6 x .17 = 1 |
Bicillin L-A PF Syringe (Penicillin G Benzathine) | 1.2 MIL (1,200,000 units) | 60793-0700-01 | J0561 per 100,000 units | 1,200,000/100,000 = 12 | 12 | 600mg/ml syringe | 100,000/1,200,000 = .09 | 12 x .09 = 2 |
Bicillin L-A PF Syringe (Penicillin G Benzathine) | 2.4 MIL (2,400,000 units) | 60793-0700-01 | J0561 per 100,000 units | 2,400,000/100,000 = 24 | 24 | 600mg/ml syringe | 100,000/2,400,000 = .05 | 24 x .05 = 1.20 |
Depo-Provera | 150mg | 00009-0746-35 (per pt vial) 00009-7376-11 (per pt syringe) | J1050 per 1mg | 150mg/1mg = 150 | 150 | 150mg/ml | 1mg/150mg = 0.01 | 150 x 0.01 = 1.50 |
Dexamethasone Oral | 5ml | 00054-3176-44 | J8540 per 0.25mg | 5ml/0.25 = 20 | 20 | 1mg/ml | 0.25mg/1mg = 0.25 | 20 x 0.25 = 5 |
Dexamethasone Sodium Phosphate Injection | 6mg | 00641-0367-21 | J1100 per 1mg | 6mg/1mg = 6 | 6 | 10mg/ml | 1mg/4mg = 0.25 | 6 x 0.25 = 1.5 |
Dexamethasone Sodium Phosphate Injection | 6mg | 63323-0516-10 | J1100 per 1mg | 6mg/1mg = 6 | 6 | 100mg/10ml | 1mg/6mg = .17 | 6 x .17 = 1 |
Rocephin (Ceftriaxone 250mg) | 250mg | 00409-7337-11 | J0696 per 250 mg | 250mg/250mg = 1 | 1 | 250mg | 250mg/250mg = 1 | 1 x 1 = 1 |
Rocephin (Ceftriaxone 250mg) | 500mg | 00409-7337-11 | J0696 per 250 mg | 500mg/250mg = 2 | 2 | 250mg | 250mg/250mg = 1 | 2 x 1 = 2 |
Rocephin (Ceftriaxone 250mg) | 750mg | 00409-7337-11 | J0696 per 250 mg | 750mg/250mg = 3 | 3 | 250mg | 250mg/250mg = 1 | 3 x 1 = 3 |
Rocephin, 1 Gram | 1gm = 1000mg | 44567-0701-25 | J0696 per 250 mg | 1000mg/250mg = 4 | 4 | 500mg/vial (powder form) | 250mg/500mg = 0.5 | 4 x 0.5 = 2 |
Zofran | 4mg | J2405 per 1mg | 4mg/1mg = 4 | 4 | 2mg/ml | 1mg/2mg = 0.5 | 4 x 0.5 = 2 |