HCPCS codes no longer requiring invoice – Avoid rejected claims

To reduce provider burden, certain contractor-priced HCPCS codes no longer require a paper invoices.

When the invoice information is entered in the narrative field on a claim for any of the HCPCS codes listed below, it is not necessary to provide the actual paper invoice for these services.

The required narrative information includes:

Invoice dollar amount and quantity for the drug or biological.
Name of the drug or biological administered.

The dosage of the medication or the size of the biological administered.

The route of administration if applicable.

Claims not containing information about the invoice or cost associated with the code(s) will reject as unprocessable.

Invoice amount

Enter the invoice amount in item 19 of the CMS-1500 paper claim form or the electronic equivalent using the following format (including cents):

Inv. $00.00 for list product name, description/size, quantity per invoice.

Claim example:

The provider administered 6 square centimeters of the biological represented by code Q4176 (Neopatch, or therion, per square centimeter), therefore procedure code Q4176 was billed with a quantity of “6”.
The invoice showed $1140.00 for Neopatch Membrane 2cm x 3cm:

The invoice amount is the total amount a provider pays for an item/service, taking into account ALL discounts, rebates, refunds, or other adjustments to an item. You must maintain sufficient documentation in the patient’s file in the event of a review.

The evaluation of codes for this list is an ongoing process. Be sure to check back frequently and subscribe to our mailing list.

Author: Seymore Bones

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