Oncology & Hematology Coding Alert
Wrangle With Remission Coding
Question: In the September Oncology Coding Alert, you mention that not every cancer in remission merits a -history of- code. Where can I find guidance on this topic?
Iowa Subscriber
Answer: According to Coding Clinic, Second Quarter, 1992, you should only assign V10.6x (Personal history of malignant neoplasm; leukemia) if you have documentation that the patient is completely cured. -A patient in remission still has leukemia.-
If you look at V10.6 in your ICD-9 manual, you-ll see a note that this range of codes excludes leukemia in remission, which you should report with leukemia codes 204-208.
The V10.7x range (Other lymphatic and hematopoietic neoplasms) has a similar exclusion. Don't report these -history of- codes for conditions classifiable to 200-203 in remission. Details: Code range 200.xx includes lymphosarcoma and reticulosarcoma, 201.x covers Hodgkin's disease, 202.x is for all other malignant neoplasms of lymphoid and histiocytic tissue, and 203.x deals with multiple myeloma and immunoproliferative neoplasms.
Oncology & Hematology Coding Alert
- Banish G Codes in Place of More Specific Antimeoplastic and Initial Infusion Codes
Sneak a peek at the new and revised chemo codes you've been asking for
Avoid the New [...] - ICD-9 Ousts Chemo Diagnosis
Are you reporting V58.11, effective Oct. 1?
Warning: ICD-9 has replaced V58.1 (Chemotherapy) with two new [...] - You Be the Coder:
Dig into Dictionary for Popliteal Mass
Question: What's the appropriate diagnosis code for a left popliteal mass?
Georgia Subscriber
Answer: Popliteal means of [...] - E/M With Brachytherapy? NCCI Says, 'Don't Even Think About It'
Your only options are observation, consultation and prolonged services
Give every brachytherapy claim with an E/M [...] - Cut Thrugh Red Tape Before Coding CT With PET/CT
Get the facts before joining the office-owned PET machine trend
PET scans offer a great tool [...] - Stroll From G Code to CPT With This Easy Infusion Crosswalk
Find out at a glance how your 2006 coding options measure up to 2005
Just when [...] - Leave 76375 Off Your Tumor Imaging Claims
And for brachytherapy, NCCI gives with one hand and takes with the other
Here's the short [...] - READER QUESTIONS:
Stem Denials With G0267 Substitutes
Question: We-ve always reported G0267 for stem cell services, but one payer recently sent back [...] - READER QUESTIONS:
Code Chemo? Choose 96542, Not 61026
Question: May I report 61026 for administration of chemotherapy following an Ommaya tap?
Indiana Subscriber
Answer: In [...] - READER QUESTIONS:
Wrangle With Remission Coding
Question: In the September Oncology Coding Alert, you mention that not every cancer in remission [...] - READER QUESTIONS:
Pick J2405 for Premixed Zofran
Question: How should I code 32 mg of premixed Zofran in a single-dose container?
Tennessee Subscriber [...] - READER QUESTIONS:
Check Date for Follow-Up Claim
Question: Our oncologist saw a patient for a bladder tumor follow-up. The payer denied our [...]
