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Oncology & Hematology Coding Alert

Infusion Coding 96413 and More:

Take the 3 Question Quiz for This Doxorubicin HCL Encounter

Published on Fri Jul 06, 2012

Bone up on documentation tips in the bonus round. Here's a quick chemotherapy infusion coding challenge to keep your skills sharp.
To answer the questions below, refer to this sample infusion encounter for a patient presenting for chemotherapy:
8:00-8:20, Aloxi 8:20-8:40, dexamethasone sodium phosphate 8:40-9:10, Emend 9:10-11:45, doxorubicin HCL 11:45-1:00, normal saline solution 1:00-1:30, Zometa.
1. Which HCPCS Codes Should You Report?
Choosing the proper HCPCS codes for a chemotherapy encounter is an important first step. If you don't know the nature of the drug, such as distinguishing chemotherapy from non-chemotherapy agents, you won't be able to assign the proper administration codes. (See the next two questions for more on administration codes). For this encounter, you should assign the following HCPCS codes.
Aloxi: The appropriate code for Aloxi is J2469 (Injection, palonosetron HCL, 25 mcg). Physicians order Aloxi to help prevent the nausea and vomiting [...]
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