Question

In: Biology

In order to complete the service line information on claims when units of measure are involved,...

In order to complete the service line information on claims when units of measure are involved, insurance math is required. For example, this is
the HCPCS description for an injection of the drug Eloxatin:

J9263 oxaliplatain, 0.5 mg

If the physician provided 50-mg infusion of the drug, instead of an injection, the service line is

J9263 x 100

to report a unit of 50 (100 x 0.5 mg = 50). What is the unit reported for service line information if a 150-mg infusion is provided?

Solutions

Expert Solution

Available form: J9263 oxaliplatain 0.5 mg

Initial drug ordered by physician: 50 mg infusion

Initial unit reported for service line: 50 (100*0.5 mg = 50)

If drug provided was 150 mg infusion

Then,unit to be reported for service line would be 150 (100*1.5 mg =150)


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