One of your patients is blind, and prefers that her pills look the same each month, because she recognizes each pill by its shape, and feel. When you bill a refill for her Synthroid to her insurance after New Year's Day, it is rejected. What DAW code can you use to try to get her insurance to cover her medication?

Question

Quizplus · Accepted Answer

You could bill the insurance with the code DAW 2 to attempt to obtain coverage for this medication. DAW 2 means that the patient is requesting a specific brand of medication. Using this code would show the insurance that the patient needs the specific brand that you are billing for; this approach may get the insurance company to cover her medication.

One of Your Patients Is Blind, and Prefers That Her