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Oncology & Hematology Coding Alert

Reader Questions:

Know When 96401-96549 Apply

Published on Wed Feb 22, 2006

Question: May I report chemotherapy administration codes for any diagnoses other than cancer?


Rhode Island Subscriber
Answer: Yes, you may use chemotherapy administration codes 96401-96549 for administration of anti-neoplastic agents used to treat certain non-cancer diagnoses.

Example: Any physician may provide cyclophosphamide for auto-immune conditions and report the administration with the appropriate chemotherapy administration code.

The codes apply to parenteral administration of non-radionuclide anti-neoplastic drugs, monoclonal antibody agents, and other biological response modifiers, as well.
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