PA Resources Portlet

Resources

CODING & DOCUMENTATION

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

PATIENT HEALTH

PHARMACY

POLICIES & GUIDELINES

PRE-SERVICE REVIEW

PROGRAMS & INITIATIVES

PROVIDER eSOLUTIONS

PROVIDER NETWORKS & SPECIALTIES

PA Dynamic Rendering

Back

Dosage Coding Guidelines for Unlisted Drugs

In order to expedite claims processing and to eliminate the request for the Medication Administration Record (MAR), the exact dosage (i.e., mg, GM, mL) given to the patient is required when billing for physician-administered drugs. This dosage should be submitted in the appropriate drug quantity field of the electronic claim and not in the procedure code units. In addition, unlisted drugs do not have an assigned Healthcare Common Procedure Coding System (HCPCS) dosage, so using the free-formed note segment within the electronic claim can also be utilized to provide additional clarifying information that may be helpful in adjudicating the claim.