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Thread: Self-administered drugs

  1. #1

    Default Self-administered drugs

    AAPC: Back to School
    A patient has an in-hospital procedure (such as a cardiac catheterization) and is kept overnight for observation without being admitted. The patient is supplied their usual medications by hospital staff. Those medications were billed to medicare using a code classifying them as "self-administered," so they were denied. In the research I've done, "self-administered" drugs are more distinctly defined than medications a patient usually takes on his/her own. The patient does not take any of the medications listed in the self-administered drug tables. Should this have been billed differently?

  2. #2
    Join Date
    Apr 2007
    Athens, Ga.


    Since the patient was technically outpatient, I would think that you could not bill for self-administered drugs.
    Walker Bachman, CPC, CPPM

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