Injection of cefepime hydrochloride, 500 mg for bacterial infections

Description

Cefepime hydrochloride is a broad-spectrum cephalosporin antibiotic used to treat serious bacterial infections. The 500 mg injection is administered intravenously and is effective against a variety of gram-positive and gram-negative bacteria.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Medicare Ambulatory Surgical Center Reimbursement (ASC)

ASC Payment Rate

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Patient Copayment / Coinsurance

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Standard copayment (20%):—

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HCPCS/CPT JZZero drug amount discarded or not administered(25.61%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(15.88%)

HCPCS/CPT JWDrug or biological discarded and not administered(4.86%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(2.72%)

HCPCS/CPT KXDocumentation requirements met for DMEPOS items(2.29%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(2.15%)

HCPCS/CPT 76Repeat procedure or service by same physician or qualified healthcare professional(2.15%)

HCPCS/CPT Q1Routine clinical service in an approved clinical research study(1.29%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(0.86%)

HCPCS/CPT GWService unrelated to hospice patient's terminal condition(0.57%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
HCPCS Quarterly Update, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)