Institutional Billing for $12.00 Dispensing Fee for 340B Purchased Drugs

Immediately for renal dialysis facilities: Update billing procedures to add modifier 'UD' as the first modifier after procedure codes for all 340B purchased drugs on UB-04 forms (Form Locator 44) or 837I electronic claims (Loop 2400). Bill drugs on separate revenue code lines for each treatment day to receive the $12.00 dispensing fee per day. Add $12.00 dispensing fee to actual acquisition cost for dates of service February 1, 2013 and after. Note that Medicare crossover claims and drugs on the Expensive Drugs and Devices Listing are not eligible for the dispensing fee but still require the UD modifier.