Coding:
Drug Administration Guidelines
This material will provide instructional information of the integral use, and reporting of the three categories of drug administration CPT codes: Hydration; Therapeutic, Prophylactic, and diagnostic Injections and Infusions; and Chemotherapy Administration.
Drug Administration Quick Reference Guide
This is a table of Drug Administration CPT Codes according to category of reporting and application. Also included are coding tips to help coders assign the most accurate codes.
Epogen Guidelines
This guideline was adapted from the current Medicare and National Government Services regulations and LCD provides specific information on the indications, limitations of coverage, documentation, and reporting requirements of Epogen.
Documentation Quick Reference Guide For Epogen Reporting 2008
This is a summary in table format of the documentation required to support medical necessity of Epogen administration.
Observation Services
Observation care is a well defined set of specific, clinically appropriate services, which include ongoing short term treatment, assessment and reassessment, that are furnished while a decision is being made regarding whether patients will require further treatment as hospital inpatients or if they are able to be discharged from the hospital.
Outpatient Observation Services Reporting Guidelines outlines the documentation, coding, coverage and billing regulations for this type of hospital services.
To assist UCLA physicians and other health care providers in any questions that may have concerning compliance regulations with:
Billing:
Billing Quick Reference Guide For Epogen Reporting 2008
This is a summary in table format of the revised requirements (e.g., modifiers) on all claims for the administration of Epogen.
Government Guidelines:
Guidance and Condition of Participation
The Center for Medicare and Medicaid Services (CMS) develop Condition of Participation (CoPs) that health care organizations must meet in order to participate in the Medicare and Medicaid programs. These minimum health and safety standards are the foundation for improving quality and protecting the health and safety of the patients.
