Oncology & Hematology Coding Alert

Keep your infusion know-how current by reviewing a significant example update.When you review the changes in your CPT® 2013 manual, you'll see nearly half a page of chemotherapy administration guidelines marked as new or revised text.But fear not. Although a large portion of the guidelines for codes 96401-96549 are marked as revised, only a few changes were made. The AMA revised the language to clarify that any qualified health care professional (not just a physician) may provide the work or monitoring required. Remember: The CPT® code set is explicitly neutral on stating which provider types are qualified to report a service. So your practice should be sure to review your specific state scope of practice for each non-physician provider type and review individual payer requirements to determine which providers may perform and bill for specific services.Facilities Should Factor in This ExampleAlthough the chemotherapy-specific guidelines didn't change much, there is a [...]