What services are provided through Coding Assistance?
Coding and billing requirements for prescription drugs, especially physician-administered drugs, varies significantly by payer, setting of care, and can also change from year-to-year. The GSKRRC can help educate healthcare professionals about current coding requirements related to GSK products by providing information related to the following coding systems: • HCPCS Codes (i.e., “A” codes, “C” codes, “J” codes) for certain drugs; • CPT codes for medical services/and procedures (i.e., drug administration) • ICD-9 diagnosis and procedure codes; and • National Drug Codes (NDCs). Note: Coding requirements are reported based on information obtained by the GSKRRC from the Centers for Medicare & Medicaid Services, the American Medical Association, Medicare contractors, Medicaid programs, private insurers/MCOs, and other payers. All final coding decisions are the responsibility of the patient’s physician and billing staff based on the patient’s medical condition and services rendered. The GSKR
