Oncology & Hematology Coding Alert

Whether liver neoplasm is primary or secondary will change your coding.Good news: You can apply many of the same rules you already know for intravenous chemotherapy coding to intra-arterialcoding, too. So take your chemo coding expertise to the next level by adding intra-arterial skills to your arsenal.Start here: For intra-arterial (IA) chemotherapy, you should choose from the following codes, says Gwen Davis, CPC,associate with Washington-based Derry, Nolan, and Associates. 96420 -- Chemotherapy administration, intra-arterial; push technique96422 -- ... infusion technique, up to 1 hour+96423 -- ... infusion technique, each additional hour,(List separately in addition to code for primary procedure)96425 --" ... infusion technique, initiation of prolonged infusion (more than 8 hours), requiring use of a portable or implantable pump.Compare 96420-96425 ApplicationsPush: For an IA chemotherapy push, you should report 96420,says Davis. You should apply the same CPT definitions for a "push" to both IA and intravenous (IV) administration:(a) "an injection in which the [...]