Oncology & Hematology Coding Alert
Navigate the Neoplasm Table
Question: What's the proper way to code for a patient referred for an MRI of the pelvis to stage and assess myometrial invasion after being diagnosed with endometrial carcinoma? The answers for You Be the Coder and Reader Questions were reviewed by Cindy C. Parman, CPC, CPC-H, RCC, co-owner of Coding Strategies Inc. in Powder Springs, Ga., and president, AAPC National Advisory Board.
Texas Subscriber
Answer: Choose your CPT code from 72195-72197 (Magnetic resonance [e.g., proton] imaging, pelvis -) depending on the radiologist's use of contrast. For the diagnosis codes, you-ll need more details from the physician.
You-ll find carcinoma diagnosis codes in the neoplasm table in the ICD-9 index. If the endometrial carcinoma is the primary malignancy, report 182.0 (Malignant neoplasm of body of uterus; corpus uteri, except isthmus). If the report indicates a secondary myometrial carcinoma, report 198.82 (Secondary malignant neoplasm of other specified sites; other specified sites; genital organs).
Oncology & Hematology Coding Alert
- New for 2006--Navigate Neutron Treatment Codes
CPT splits the atom to create 77422-77423
Pay attention to your particles - CPT 2006 serves [...] - Prepare for Sweeping Changes To Second-Opinion E/M Coding
Plus: Follow-up consults go through a major shake-up
Make a beeline for the E/M section the [...] - Target 77421 for Stereoscopic IGRT in 2006
ASTRO argues against port film bundle
Stereoscopic x-ray guidance won the tough battle to have its [...] - Modifier Tip:
Master 25's Latest Documentation Details
Added instruction stresses need for separate services
You probably know that you should append modifier 25 [...] - News You Can Use:
You're Proving Quality-of-Life Care Is Cost-Effective
And bringing in an extra $130 to boot
Thanks to your demonstration project coding for chemotherapy-patient [...] - READER QUESTIONS:
Divide Device Claim With Hospital
Question: For an oncologist working in a hospital, how should I code a complex block, [...] - READER QUESTIONS:
Double Isodose Codes With Proper Documentation
Question: May I code two separate complex isodose plans for the same date of service [...] - READER QUESTIONS:
Study Immunotherapy to Report V58.12
Question: The November issue of Oncology Coding Alert described two new encounter codes--V58.11 and V58.12. [...] - READER QUESTIONS:
Stand Up for Freestanding Tech Fees
Question: What is the proper place-of-service code for a freestanding center?
Texas Subscriber
Answer: You should [...] - READER QUESTIONS:
Aspire to Proper FNA Reporting
Question: How should I code my medical oncologist's fine needle aspiration with ultrasound guidance?
Arizona Subscriber [...] - You Be the Coder:
Test Your Treatment Planning Knowledge
Question: How should I code for simple therapeutic radiology treatment planning documented only in the [...] - Shift Prostate Screening to Your Accepted Codes List
Don't pass up this PSA ICD-9 list
Medicare is giving prostate screening a nod of approval. [...] - READER QUESTIONS:
Sift Through In Situ Synonyms
Question: My report indicates a -noninfiltrating carcinoma- of the pelvic wall. What is the proper [...] - READER QUESTIONS:
Ponder PET Documentation Do's
Question: What documentation should the oncologist provide for tumor imaging codes 78811-78816?
Pennsylvania Subscriber
Answer: You [...] - READER QUESTIONS:
Avoid Neoplasm Table for Myeloma Code
Question: I was unable to find a myeloma diagnosis in the neoplasm table. Am I [...] - READER QUESTIONS:
Relax Requirements for History-Taker
Question: My coworker thinks the oncologist must take a patient's history, but I think a [...] - READER QUESTIONS:
Navigate the Neoplasm Table
Question: What's the proper way to code for a patient referred for an MRI of [...]
