1319 Basis of Cost Determination Code
Code indicating the method by which the ingredient cost was calculated
- Type
- Identifier (ID)
- Length
- Min 1 / Max 2
- Codes
| Code | Description |
|---|
| 0 | Not specified |
| 1 | Average Wholesale Price (AWP) |
| 2 | Local Wholesaler |
| 3 | Direct |
| 4 | Estimated Acquisition Cost |
| 5 | Acquisition Cost |
| 6 | Maximum Allowable Cost (MAC) |
| 7 | Usual, Customary, and Reasonable (UCR) Price that is generally charged for this product or service |
| 8 | Unit Dose Quantity of medicine to be taken each time |
| 9 | Brand Medically Necessary |