AAPC - Back to school
Results 1 to 2 of 2

Thread: Patient Brings Own Meds to Outpatient Dept

  1. #1

    Arrow Patient Brings Own Meds to Outpatient Dept

    AAPC: Back to School
    We are provider based... which means that we are considered an outpatient deparment of the hospital instead of place of service office. This also means that we cannot charge the same way as office because our charges go on a UB paid from Part B.

    That being said, if a patient brings their own meds, we cannot just charge 96372 on a UB, we MUST provide the drug being administered. The question is, do we use the Jcode with dollar value $.01 or do we charge regular price with an FB modifier on the Jcode or 96372?

  2. #2
    Join Date
    Apr 2007

    Default Pt Brings Own Meds

    Thought you might want to view this article which I came across for your question.
    Modifier-FB; Item Provided Without Cost to Provider, Supplier or Practitioner (Examples, but not Limited to: Covered Under Warranty, Replaced Due to Defect, Free Samples)
    Effective for services furnished on or after January 1, 2006, hospitals must report HCPCS modifier -FB with the HCPCS code for a device that was furnished to the hospital without cost to the provider.
    For example, when a manufacturer furnishes a replacement device that has been recalled or has failed and that was furnished to the provider without cost to the provider, the hospital must report the modifier -FB with the device code to indicate that the hospital did not incur a cost for the item.
    This requirement applies to all HCPCS alphanumeric device codes with initial letter of “C” or “L.” Hospitals should submit a token charge (e.g., $1.00) on the line with the device code for the claim to be accepted and processed. If the hospital uses a device that was furnished to it for no cost, but for which the usual cost to the hospital is greater than $50.00 and for which there is no suitable HCPCS alphanumeric code beginning with initial letter of “C” or “L,” the hospital must use the modifier -FB with the procedure code for the service in which the device is used.

    pulled from publication from Medicare's site (MLN Matters Number MM4250).

Similar Threads

  1. Billing code 20610 when pt brings in meds
    By JACKIMARKERT@YAHOO.COM in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 04-08-2014, 12:48 PM
  2. Patient's who bring their own meds
    By Lisa V McBride68 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-13-2010, 12:18 PM
  3. Hospital Outpatient Radiology dept. removing tunneled catheter
    By MRKOCUREK in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 09-28-2009, 11:08 AM
  4. 99211 vs 96372 if patient brings meds
    By kte01a in forum E/M
    Replies: 8
    Last Post: 03-30-2009, 08:54 AM
  5. Oncology/Chemo dept administering meds
    By jaldrich in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-27-2008, 01:32 PM

Tags for this Thread

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?


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.