Drugs requiring detailed coding meaning

Coverage, as defined by each payer type Novartis Pharmaceuticals Corp. Revenue code. Description. 0636. Drugs requiring detailed coding.

LISDEXAMFETAMINE CAP,ORAL (Local Prior Authorization Required) is an item Drug Detail. Drug Class: AMPHETAMINES. VA Class Code: CN801. Therapeutic

0636 Drugs requiring detailed coding (Pharmacy extension series 063X) Certain classes of drugs that require detailed coding, including chemotherapy drugs, oral antiemetic drugs, immunosuppressive drugs, and others, must be billed with revenue codes 0634, 0635, or 0636 and detailed CPT or HCPCS coding according to UB-04 editor guidelines.

TRAMADOL/ ACETAMINOPHEN TAB (Local Prior Authorization Required) is an Drug Detail. Drug Class: OPIOID ANALGESICS. VA Class Code: CN101. Therapeutic

2) Outpatient billing for Drugs that require detail coding (i.e, pharmacy with HCPCS). What is a 636 drug? Managed care payers often have carve-out payments for drugs reported in revenue code 636 (Drugs requiring detailed coding) when reported on both inpatient and outpatient claims.

Pharmacy-Drugs requiring detail coding. 0637. Pharmacy- Self-Administrable Drugs. Page 8. 8. REVENUE. CODE. DESCRIPTION. 073X. EKG/ECG. 0730. EKG/ECG- General.

0636: Drugs requiring specific identification – detailed coding. Hospital HBV reactivation is defined as an abrupt increase in HBV replication.

PHARMACY- DRUGS REQUIRING SPECIFIC IDENTIFICATION. This category is an extension of 025X for reporting detailed coding where needed. 0634

0636 Drugs Requiring Detailed Coding DRUG/DETAIL CODE . 0637 Self Administrable Drugs DRUG/ SELF ADMIN . 071X Recovery Room. 0710 General Classification RECOVERY ROOM .