In: Biology
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?
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)