Wiki Physician administered Oral Clonodine during office visit

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jcee

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Our Cardiologist was seeing a patient in the office. The Patient's blood pressure was extremely high so the physician took Clonodine from the crash cart and administered it to the patient. Is there anything we can bill for administration of Oral Clonodine? Thank you for your help.
 
The physician says there is a code for dispensing the drug. I can't find anything for dispensing Orally. Do you know what code might be used for the medication itself?
 
Going by Medicare guidelines here: A self administered drug is generally not covered, and is not billable. There is no administration cost as the patient was able to take it themselves. But it looks like the patient can be billed for the cost of the drug, and the patient can then send in a claim to Part D themselves for reimbursement. I have attached the link for that here:
http://www.cms.gov/Outreach-and-Education/Outreach/Partnerships/downloads/11331-P.pdf

Reimbursement wise, I believe it will just roll into your evaluation and management service for that visit based on the level of visit required. Medicare has a self administered drug list that you can view, depending on your carrier. Ours is WPS, so I have included the link (if it is a Medicare patient). HTH

http://wpsmedicare.com/j5macpartb/policy/usad_listing/
 
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