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Oncology & Hematology Coding Alert

CPT® 2013:

38240-38243 Q&A Helps You Apply Updated Hematopoietic Progenitor Cell Codes

Published on Thu Nov 15, 2012

Stay alert for limited opportunities to report distinct E/M.When it comes to applying codes correctly, veteran coders know that coding guidelines can be as important as code definitions. Review this Q&A -- and the guidelines in your manual -- to ensure you apply stem cell transplant and lymphocyte infusion codes correctly in 2013.Background: CPT® 2013 will revise and add to the list of stem cell transplant codes, as explained in "38243 Will Bring a New Option for HPC Boost Starting January 1," in Oncology & Hematology Coding Alert, vol. 14, no. 11. Effective Jan. 1, 2013, CPT® will delete the crossed out text and add the underlined text shown below:Revised: 38240, Bone marrow or blood-derived peripheral stem Hematopoietic progenitor cell transplantation(HPC); allogeneic transplantation per donorRevised: 38241, ... autologous transplantationNew: 38243, ... HPC boostRevised: 38242, Bone marrow or blood-derived peripheral stem cell transplantation Allogeneic lymphocyte infusions; allogeneic donor lymphocyte infusions1. What's the Timeframe [...]
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