ESRD Facilities: Bill Correctly for Cinacalcet Oral Drug

Beginning January 1, 2021, the cinacalcet oral drug is eligible for consideration as an ESRD outlier service:

  • Report the number of tablets or pills, not the number of units (for example, milligrams)
  • Report revenue code 250 with the national drug code
  • Don’t use revenue code 0636 with HCPCS code J0604

More Information:

Source: CMS MLN Connects dated September 23, 2021

 

            Last Updated Tue, 12 Oct 2021 15:32:14 +0000