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pressleystillwater
Hospital based Outpatient Infusion Clinic charges

Does anyone have or know where I can find a list of drugs that CMS considers to be Highly Complex Drugs or Highly Complex Biologic Agents?

Any help would be appreciated.  Thanks

kpholt
Chemo CPT guidance

CPT does not provide instructions regarding the appropriate reporting of drug administration services on a drug-bydrug basis and CMS only gives examples of drugs that can qualify for the chemo administration codes, however Centocor published a great document that reviews the guidelines on determining whether you can use the chemo administration codes for different medications. The document also reviews CMS policy and includes some nice examples.

Try this website to access the pdf file. http://www.janssenaccessone.com/assets/remicade/complex.chemo.pdf and if that doesn't work you can contact me directly by email and I will send you a copy.

Hope this helps.

Kim Holt

[email protected]

 

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