Hospice Prescription Drug Reporting Table
Published 07/18/2018
When reporting prescription drugs on hospice claims, there are differences based on the type of administration. The table below provides information on how to report these drugs.
- List of HCPCS codes available in the Centers for Medicare & Medicaid Service Table of Drugs
- List of NDCs available in the FDA NDC directory
Medication Form (method of administration)
|
Revenue Code
|
HCPCS
|
Revenue Code Units
|
NDC
|
NDC Quantity (per fill)
|
NDC Unit of Measure
|
NDC Example
|
---|---|---|---|---|---|---|---|
Non-injectable (solution, liquid, suspension)
|
0250
|
N/A
|
1*
|
Required
|
Quantity of solution, liquid, suspension
|
ML
|
|
Non-injectable (Cream, Ointment or Lotion)
|
0250
|
N/A
|
1*
|
Required
|
Quantity of cream, ointment or lotion
|
GR or ME
|
|
Non-injectable (powder packet)
|
0250
|
N/A
|
1*
|
Required
|
# of vials/bottles
|
UN (administered in powder form)
|
|
Non-injectable (powder – requires reconstitution)
|
0250
|
N/A
|
1*
|
Required
|
Quantity of powder
|
ML
|
|
Non-injectable
(tablet, capsule)
|
0250
|
N/A
|
1*
|
Required
|
# of tablets, capsules per fill
|
UN
|
|
Non-injectable (suppository)
|
0250
|
N/A
|
1*
|
Required
|
# of suppositories per fill
|
UN
|
|
Non-injectable
(Transdermal Patches)
|
0250
|
N/A
|
1*
|
Required
|
# of patches
|
UN
|
|
Injectable
|
0636
|
Required
|
Amount filled based on HCPCS definition
(ex. HCPCS = 100 mg, fill = 200, units reported as 2)
|
N/A
|
N/A
|
N/A
|
N/A
|
Infusion pump drug
|
0294
|
Required
|
Amount filled based on HCPCS definition
(ex. HCPCS = 100 mg, fill = 200, units reported as 2)
|
N/A
|
N/A
|
N/A
|
N/A
|
* The 0250 revenue code line only requires a valid value (i.e., whole number) because the actual units (quantity) are reported in the NDC field. Providers can report a unit of "1" or any other value that may assist them internally.
|