Oncology & Hematology Coding Alert
READER QUESTIONS:
Stand Up for Freestanding Tech Fees
Published on Mon Nov 14, 2005
Question: What is the proper place-of-service code for a freestanding center? Contact your payer to ensure reimbursement for technical services. You may need to educate payers accustomed to only reimbursing physicians for the professional component of a code.
Texas Subscriber
Answer: You should check with your payer and your legal counsel to determine the proper code for your particular facility, but the most common codes are the following:
- 11--Office
- 21--Inpatient hospital
- 22--Outpatient hospital
- 49--Independent clinic
- 99--Freestanding radiation therapy center.
Other Articles in this issue of
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 [...]
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