Awareness : Did You Know? 2015-2016

Did You Know? Weekly Educational Series 6

For the Week of September 21, 2015-Pharmacy

Question:What code should be assigned to bill an alemtuzumab injection?

Answer: The October update to the hospital outpatient prospective payment system (OPPS) indicates that the following new HCPCS code should be used in the hospital outpatient setting.

Q9979 Injection, alemtuzumab, 1 mg

Although the APC rate is not yet posted, CMS assigned a status indicator of K to this code, which indicates it will be paid under the OPPS with a separate APC payment.