Oncology & Hematology Coding Alert
Blue Cross Blue Shield Requires S Codes
Question: What are S codes and when should we report them? Answer: HCPCS 2004 lists S codes (S0000-S9999) as temporary national codes that the Blue Cross Blue Shield Association and the Health Association of America use to report drugs, services, and supplies that no national code represents. For example, you could submit S9329 (Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment [drugs and nursing visits coded separately], per diem [do not use this code with S9330 or S9331]) for management of at-home chemotherapy administration.
Missouri Subscriber
Some Medicaid programs accept these codes, but you should not submit S codes to Medicare carriers unless your provider directs you to do so.
Oncology & Hematology Coding Alert
- Will the 96400-96542 Payment Increases Help Your Office?
Medicare takes up some slack with administration codes Although Medicare has reduced payment for 2004 [...] - Report Therapeutic Infusion Codes With Confidence
Get what you deserve with 90780-90788 Medicare didn't target only chemotherapy codes for payment increases, [...] - News You Can Use:
Medicare Drug Rates Decrease J Code Reimbursement
Find out what 85 percent AWP means for your practice Your oncologist's chemotherapy drug reimbursement [...] - Watch Out:
You Can't Report 99211 and 96408 to Medicare ...
... but you may be able to support a higher-level E/M - and get paid [...] - Reporting Chemotherapy:
Assign 96408 per Drug
Improve pay with Medicare's new pushtechnique guidelines Does your oncologist provide multiple drugs during chemotherapy [...] - Reader Question:
5-Year Rule Doesn't Apply to ICD-9 Coding
Question: When should we replace a cancer diagnosis code with a "history of cancer" diagnosis [...] - Reader Question:
Use 77427 for IMRT Professional Services
Question: How should we report the professional component of an IMRT?
Georgia Subscriber Answer: To code [...] - Reader Question:
Pick Code Based on Largest Tumor
Question: My oncologist transurethrally resected several malignant bladder lesions of varying sizes. Should I bill [...] - You Be the Coder:
Teaching Physician Rules
Question: Which modifiers should I use when reporting services and procedures under the teaching physician [...] - Reader Question:
Blue Cross Blue Shield Requires S Codes
Question: What are S codes and when should we report them?
Missouri Subscriber Answer: HCPCS 2004 [...] - Reader Question:
99291 Pays More Than 99215
Question: Are there any advantages to choosing critical care codes rather than high-paying E/M codes?
New [...] - Reader Question:
Assign J0880 for Non-ESRD
Question: What tips do you have for reporting J0880?
Michigan Subscriber Answer: Medicare carriers will pay [...]
