Oncology & Hematology Coding Alert

Infusion Coding 96413 and More:

Take the 3 Question Quiz for This Doxorubicin HCL Encounter

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 [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All