ALopez5532
New
Does anyone know if the intended use of revenue code 256 Experimental Drugs is for instances of a clinical trial only?
-
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 Revenue Code 256
- Thread starter ALopez5532
- Start date
Pam Warren
True Blue
According to the Uniform Billing Editor, Rev code 256 is used only for experimental drugs not covered by CMS. MM3742 tells us to use Rev Code 636 for antic cancer drugs furnished during a clinical trial. You may want to check with your contractor and payers about billing guidance as the revenue code may be dependent on the drug. Your condition code (30) identifies clinical trial.
ALopez5532
New
Thank you so much for the feedback.