Forum - Questions & Answers

Jun 8th, 2009 - bigdog40 27 

Help with HCPC

Does anyone know the HCPCS for a medication called Atripla (NDC# 15584-0101-01)? We gave a dose to a patient that was stuck with a dirty needle. Maybe it is not even a HCPCS?

Thanks

Jun 8th, 2009 - Codapedia Editor 1,399 

Help with HCPC

Did you give it in pill form? or IM/IV?

Jun 8th, 2009 - Codapedia Editor 1,399 

Help with HCPC

Our friends at Wikipedia have this to say:

Atripla is a fixed dose combination drug for the treatment of HIV infection. It combines Gilead Sciences's tenofovir and emtricitabine (already available in the anti-HIV combination Truvada) with Bristol-Myers Squibb's efavirenz into a fixed-dose pill. Combining the three drugs into a single, once-daily pill reduces pill burden and simplifies dosing schedules, and therefore has the potential to increase adherence to antiretroviral therapy.

If you gave the pill form, I don't think you'll get paid for it in the MD office.

Jun 8th, 2009 -

You could bill for it...

but I doubt you paid for it. You probably gave a sample pill or a return from another patient and to charge for that would be fraud. Ask the docs who got busted charging for Lupron that they got as samples.

Jun 9th, 2009 - bigdog40 27 

Atripla

I work for a Occupational Health Physician. We keep this medication available (purchased by us) for people who come in for needle sticks, animal scratches... It was given to the patient in a tablet form. Any HCPC help would be much appreciated.

Thank you

Jun 9th, 2009 - Codapedia Editor 1,399 

Atripla

Do I assume correctly that you are billing this to the patient's employer, and not their insurance company? I'd use an unlisted code, send a copy of the invoice, and price it accordingly.

There wouldn't be an administration fee, of course.

Jun 9th, 2009 - bigdog40 27 

Assumption correct (partially)

It is going to be billed to the employers workers Compensation carrier. I wanted to use a HCPC if there was one available.

Thank you



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