Thanks to the generous support from Innovatix, LLC, the 2022 Guide for Billing S-codes for HIT to Non-Medicare Payers, the 2022 Guide for Billing Medicare Part B G-Codes for Home Infusion Therapy Services, and the NEW 2022 Guide for Billing Medicare Equipment and Supply Codes are now available as NHIA member-only benefits.
This reference is an extremely useful tool once the concepts and detail in the National Coding Standard are understood. It visually demonstrates that using the home infusion therapy per diem coding system is actually quite simple—it is administratively efficient and easy to incorporate into managed care contracting and government payer fee schedules.
This quick reference tool was designed for members to assist with understanding when and how to bill Medicare for Home Infusion (Nursing) Services.
While most infusion claims are billed with HCPCS per diem S-codes, others need to be billed using supply and equipment codes. In this reference are the supply kit and equipment rental codes used by therapy when billing using supply kits format (versus billing the per diem codes). Supply kits are often used when instructed to bill using “Medicare billing rules.” When it is not defined at the payer level, it is recommended that you use the per diem “S” codes as a best practice.
The Centers for Medicare & Medicaid Services (CMS) has cast a wide net regarding which entities can provide
and bill for COVID-19 treatments. The list includes pharmacies enrolled with the A/B MAC (to provide factor
products) and pharmacies enrolled in the durable medical equipment, prosthetics, orthotics and supplies
Learn how to enroll and bill for COVID-19 treatments.