The current Final Rule requires use of HCPCS for medical supplies, observed are hot debates on this area from NCPDP who desires to use UPC or NDC within the NCPDP transaction.
Assuming the NPRM due out on NDC states you can use HCPCS or NDC for drugs you would have a choice on your IV components, the loop mentioned below was built with Home Infusion in mind. Assuming you are a commericial payor, I suggest you contact HIAA (Health Insurance Ass. of America), they are working on some code requests. Companies that need new HCPCS can go to www.hcfa.gov\medicare\hcpcs.htm and find the request form for new codes. Please also reference this site for newly assigned codes by CMS available for use but not in the annual update. Keep in mind all codes are available for your use (unless you are Medicare then you cannot use codes beginning with S or T), personally I would avoid C codes as by definition they go away quickly. p Pamela A. Cotham EDS-CAXIX mailto:[EMAIL PROTECTED] In essentials, unity, in doubtful matters, liberty, in all things charity.". -----Original Message----- From: Christopher J. Feahr, OD [mailto:[EMAIL PROTECTED]] Sent: Thursday, February 14, 2002 6:10 PM To: [EMAIL PROTECTED] Subject: Re: Infusion and Home Care Codes Steven, look at the new 2410 loop added to the 837 by the "addenda" to provide detail on drugs. -Chris At 04:19 PM 2/14/02 -0500, you wrote: >I'm new to this listserve, so I apologize if this question has already been >discussed... > >We are in the process of addressing our current provider contracts that >contain custom / home grown codes. The area that we are having the most >difficulty is with home health care and infusion therapy contracts. The way >that most home health care contracts are written, there just isn't enough >current codes to cover all of the different services and levels of services >that could be provided. With infusion therapy, the pharmaceutical piece and >supplies are an issue, especially if we have to go back to J-codes. > >Even in talking with the service vendors themselves, thinking that they will >be dealing with this same issue with all of their payers, they have not been >able to offer much assistance. Any thoughts or feedback on how others are >addressing this issue, or if you're stuck too? > >Thanks, >Steven Robino >Coventry Health Care > > >********************************************************************** >To be removed from this list, send a message to: [EMAIL PROTECTED] >Please note that it may take up to 72 hours to process your request. Christopher J. Feahr, OD http://visiondatastandard.org [EMAIL PROTECTED] Cell/Pager: 707-529-2268 ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
