Question

In order to complete the service line information on claims when units of measure are involved insurance math is required. For example this is the HCPCS description for an injection of the drug Eloxatin: J9263 oxaliplatain, 0.5 mg if the physician provided 50 mg infusion of the drug instead of an injection the service line is j9263 x 100 to report a unit of 50(100x 0.5 mg=50). What is the unit reported for service line information if a 150 mg infusion is provided?

Answer 1

Answer:

The service line is J9263 x 300 to report a unit of 150(300x 0.5 mg = 150).                    

Step-by-step explanation:

The drug J9263 Eloxatin contains 0.5 mg oxaliplatain.

For a infusion of 50 mg the unit reported for service line information is:

- Service line: J9263 x 100

- Unit reported for service line information: 50 = 100 x 0.5 mg

Hence, for a infusion of 150 mg, the unit reported for service line information is:

- Unit reported: 150(300 x 0.5 mg = 150)

- Service line information: J9263 x 300

Therefore, if the physician provided 150 mg infusion of the drug instead of an injection the service line is J9263 x 300 to report a unit of 150(300x 0.5 mg = 150).

I hope it helps you!                          

Answer 2

The unit reported for service line information for 150 mg infusion based on the injection description is :

• 150(300x 0.5mg = 150)

• j9263 × 300

Given the injection description :

• 0.5 mg if physician provided 50 mg of infusion

• Service line = j9263 × 100

For 150 mg infusion :

• (150 mg ÷ 50 mg) = 3

Unit reported would be:

• [50(100x 0.5mg = 150)] × 3 = 150(300x 0.5mg=150)

• 3(j9263 × 100) = j9263 × 300

Therefore, the service line information and the unit reported would be:

• 150(300x 0.5mg = 150)
• j9263 × 300

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