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Oncology & Hematology Coding Alert

HCPCS 2011:

J9080-J9097 Head to the Chopping Block in 2011

Published on Tue Nov 09, 2010

Learn which other codes will bring you instant denials starting January 1.The recently released HCPCS 2011 code-set reveals a slew of deletions, streamlining your drug coding choices. Cisplatin, cyclophosphamide, and vincristine are among the affected drugs. Here are the highlights.Good news: This change should simplify billing, particularly if the system your practice or facility uses, such as Pyxis or Lynx, limits you to a single code and billable unit for a drug, says Lisa S. Martin, CPC, CIMC, CPC-I, chargemaster specialist for OSF Healthcare System in Peoria, Ill. "As a consultant, I saw different facilities using only the 100 mg code [for example] for that very reason, so this change should facilitate more consistent and compliant billing practices."Watch out: These changes have a positive side, but "there are always considerations that will arise," Martin says. For example, if your practice uses different vial sizes, you will need to be alert [...]
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