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Thread: Rx refill billing

  1. #1
    Join Date
    Apr 2007

    Default Rx refill billing

    AAPC: Back to School
    Hello all,
    Can someone tell me if you can bill for a Rx refill that is filled over the phone to the pharmacy??? No physician face-to-face, no chart documentation except that they Rx was called in and filled.

    If this is possible, but i honestly think not, what is the code to use?????


  2. #2


    No, nothing to code. Part of doing business.

    You can look at the nurse t-call codes and guidelines and Physician t-call codes and guidelines but basic RX re-fills is just not a codeable service

    Concerned about your statement "no chart documentatation". There should be at a minimum "call from pt wanting XXX refill, verified and call made to ZZZ pharmacy, refill XXX 30 for 30 days", Nurses know the required documentation
    Last edited by sbicknell; 06-09-2010 at 03:12 PM.

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