Pharmacy

Pharmacy Question for the Week of January 25, 2021

Pharmacy Compliance Question of the Week

Question:

Do you have any tips on revenue code 636?

Answer:

Drugs and biologicals that are mapped to revenue code 636 will appear on the claim on individual line items for detailed reporting of the HCPCS code, unit of measure (the multiple of the code description to represent the billed amount of drug), and the charge for the drug. If a commercial contract specifies the use of revenue code 636 only for high-cost or “carve out” drugs, the facility must use the revenue code as stipulated.


This question was answered in our Coding Essentials for Infusion & Injection Therapy Services. For more hot topics relating to infusion services, please visit our store or call us at 1.800.252.1578, ext. 2.