Oncology & Hematology Coding Alert

Pick Up on When Encounter Code Is Primary

When the sole purpose of the patient's visit is radiotherapy or chemotherapy, sequence the malignancy second, says Mary I. Falbo, MBA, CPC, president of Millennium Healthcare Consulting Inc. in Lansdale, Pa.
 
The initial diagnosis would be V58.0 (Encounter for other and unspecified procedures and aftercare; radiotherapy) or V58.1x (Encounter for antineoplastic chemotherapy and immunotherapy).
 
Resource: See the official ICD-9 guidelines for the exact language (www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/icdguide06.pdf).

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