Menu
Menu
Question:
In the case of Medicare, what is a SCOD?
Answer:
The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 defines a specified covered outpatient drug (SCOD) as a covered outpatient drug for which a separate ambulatory payment classification (APC) has been established and that is either a radiopharmaceutical agent, or a drug or biological for which payment was made on a pass-through basis on or before December 31, 2002. Payment for SCODs is set, by law, at the average acquisition cost. Under the OPPS, a single payment is made for SCODs that includes payment for both the acquisition cost of the drug and any associated pharmacy overhead or nuclear medicine handling costs.
CPT® copyright 2023 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
Copyright © 2024 RACmonitor. Powered by MedLearn Media.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24