I would like someone to please let me know how to appropriately code for Zofran, when it is given orally to our patients. We received a denial stating Medicare patients need to be coded differently. Non medicare would be S0119, Medicare would be Q0162, correct? In the HCPCS book it says to use this code for Zofran. It also states in the HCPCS description for Q0162: not to exceed 48 hours dosage regimen, for use complete substitute (therapeutic) for an IV at the time of chemo therapy, etc.

Does this mean i can only use this code for chemo therapy, IV use?! Can someone please let me know?

Thank you,

Stephanie Garrison, CPC
Medical Biller and Coder
Good Health Financial, PC
4600 S. Mill Avenue, Ste 280
Tempe, AZ 85282-6850