Oncology & Hematology Coding Alert
Chuck Your Old Prescription Antiemetic Codes
2006 HCPCS update includes new NOS codes Add These NOS Coding Options HCPCS 2006 adds two -not otherwise specified- (NOS) codes: Terminated: Due to these new codes, HCPCS codes K0415 (Prescription antiemetic drug, oral, per 1 mg, for use in conjunction with oral anti-cancer drug, not otherwise specified) and K0416 (Prescription antiemetic drug, rectal, per 1 mg, for use in conjunction with oral anti-cancer drug, not otherwise specified) are no longer effective in 2006. Figure in New Pharmacy and Prescription Codes If you supply your patients with prescription antiemetics, don't miss these coding changes. Terminated: These new codes led to the elimination of code G0370 (Pharmacy supply fee for oral anti-cancer, oral antiemetic or immunosuppressive drug[s]).
Avoid slipping up on your antiemetic coding by sorting through these changes to the HCPCS codes, effective Jan. 1, 2006.
- J8498--Antiemetic drug, rectal/suppository, not otherwise specified
- J8597--Antiemetic drug, oral, not otherwise specified.
HCPCS 2006 adds the following codes:
- Q0511--Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period
- Q0512--Pharmacy supply fee for oral anti-cancer, oral antiemetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period.
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