While many chemotherapeutic agents are excluded from consolidated billing, Lupron technically is a hormone and not a chemotherapeutic agent. It may not be excluded. That is the same issue that arises with antiemetics that often are given in conjunction with chemotherapeutic agents or radiation therapy. The chemo or radiation tx may be excluded (again, depending on the code), but the other meds generally are not.
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
Subj: Re: LUPRON injection
Date: 3/15/04 12:45:42 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
Chemotherapeutic agents should be billed by the licensed healthcare
provider who administers it. It is NOT included in the Med A consolidated
billing rate. (Can't find the exact program memorandum which notes
this...)
On Mon, 15 Mar 2004 12:35:40 -0500 "Stacee Kunse" <[EMAIL PROTECTED]>
writes:
>Are Lupron injections paid for by the facility if the resident is
>Medicare A or is this an exception? If Medicaid, family or
>insurance
>pays, correct?
>
>
>
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>Stacee Kunse, RN
>MDS Coordinator
>Tuscola County Medical Care Facility
>1285 Cleaver Road
>Caro, MI 48723
>Phone: (989)673-4117
>Fax: (989)673-6665
>Email: [EMAIL PROTECTED]
