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Billing codes

Revenue code 0250

Pharmacy (general)

The pharmacy line on a hospital bill: every drug given during the visit, from a single acetaminophen tablet to an IV antibiotic. On a summary bill it appears as one total. On an itemized bill it becomes a long list, and that list is where a great many hospital billing errors live.

Watch out

Where this line goes wrong

Quantity errors are common and easy to prove

A drug charged ten times when it was given once, a full vial billed when a fraction was used, a medication you never received. The medication administration record (MAR) lists what was actually given and when. Ask for it and compare.

Hospital markups on ordinary drugs

Common over-the-counter medicines are charged at many times their retail price. That is a pricing choice, not an error, but if you are self-pay it is a line to raise when negotiating.

Drugs that need their own code go elsewhere

Expensive drugs should appear under 0636 with a specific HCPCS code, not lumped into 0250. If a very large amount sits under 0250 with no detail, ask for the itemization.

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What to do

Check it, then ask

  1. 1

    Ask for the itemized bill and the medication administration record, and check every pharmacy line against it.

  2. 2

    Look for duplicate lines, implausible quantities, and drugs you did not receive.

  3. 3

    If self-pay, ask for the cash price on the pharmacy total or for the markup to be reviewed.

The full walkthrough for this kind of bill: Your bill came in above the estimate.

Think this line is wrong?

Upload the bill for a free first look. In about a minute you'll see what bills like it usually come down by, anything worth questioning, and where we'd start. If you'd like a specialist to dispute it for you, it's $129, and if we don't lower your bill by at least $129, the $129 is refunded in full.

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Questions

People also ask

Can I get the hospital to itemize the pharmacy charges?

Yes. An itemized bill lists each drug with its quantity and charge. Hospitals provide it on request; some states require it automatically.

Why was I charged for a medication I brought from home?

Some hospitals charge a handling fee for patient-supplied drugs, but a charge for the drug itself is an error. Ask for it to be removed.

Sources

This page explains a billing code in general terms. It is not a coding, legal or medical opinion about your bill, and the code descriptions are mediloop's own plain-English summaries, not the official CPT descriptors, which are owned by the American Medical Association. Whether a charge was correct depends on the record of your visit and your payer's rules.