I have a question regarding billing for Kinevac (J2805—injection, sincalide, 5 mcg). This is a weight-based drug; therefore, if, based on the patient’s weight, we need to give 1.6 mcg, do we round up and charge for 2 mcg?
Since the billing dose unit is 5 mcg, you would bill x 1, because the 1.6 mcg given is less than the billing dose of 5 mcg. You can only bill x 2 if you give more than 5 mcg. You would round up when you give more than the billing dose, not when you give less. For example:
5 mcg or less = x 1
5.1 mcg up to 10 mcg = x 2