Results 1 to 4 of 4

coding medicine in office

  1. #1
    Default coding medicine in office
    Exam Training Packages
    HELP!!!
    Can someone please tell me if I am accurratley coding medicine given in house to our workers comp. patients.

    ok we have a patient seen and dr. gives ibuprofen I use CPT 99070
    add description of ibuprofen along with NDC#
    Ibuprofen 800 mg NDC # 63874-0323-30 and #30 tabs given.
    I only charge it at 1 QTY but there are 30 tabs in the medicine given?

    Am I charging it correctly??? Should it be more then 1 QTY? should i charge 30 QTY because there are 30 tabs given????? or does the complete code and description justify the medicine given????


    PLEASE HELP!!!!!!


    THANKS!!!!

    MARISELA AMADOR - CPC

  2. #2
    Default
    I would use a HCPCS "J" code for the med. Why do you dispense oral meds instead of the patient going to the pharmacy? Payers in our area do not reimburse for oral meds such as ibuprofen like this because a 30 day supply is like filling a prescription and that should go under the prescription benefit. But maybe it works differently for work comp. I don't know.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  3. #3
    Default
    I am not able to find a J code for ibuprofen. Can You Help? Usually Workers Comp. Insurance pays for medicine dispensed in office. Dr.'s does give RX for medicines we dont have in house. But I have noticed most of the J codes for Medicine are for Injectables eg: Rocephin, Depo-Medrol etc. and for those medicines that have a J assigned we use it.

    Marisela -CPC

  4. #4
    Default
    J8499 is Prescription drug, oral, non-chemotherapeutic, NOS. Include the NDC info on the claim. Worth a try...Good luck.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

Similar Threads

  1. Internal Medicine Office Coordinator
    By jdouglas in forum Employment General Discussion
    Replies: 3
    Last Post: 11-11-2014, 08:15 PM
  2. Replies: 0
    Last Post: 02-12-2014, 07:41 AM
  3. Occupational Medicine office visits
    By cberman in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-09-2014, 01:24 PM
  4. Internal Medicine and Specialists in same office
    By lynnmathis in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-06-2012, 04:38 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.