Oncology & Hematology Coding Alert

Test Your Coding Knowledge:

Quiz Yourself on Chemotherapy, Pumps,Flushes and More

You can read coding articles until you're blue in the face, but if you can't remember them, you're not getting your money's worth. You can code more reports if you commit a little bit of coding advice to memory.

This quiz will help you to do that by making you provide the coding knowledge so you can assess whether you're remembering what you've learned. Fill in the blanks to these five questions.

As you take the quiz, cover the answer section at the bottom of each question:

 

Question #1: Physicians and NPPs frequently provide combination chemotherapy by different routes at the same session. In these cases, chemotherapy administration fluids such as saline or dextrose solutions may be necessary to maintain line potency or flush lines between different agents given at the same session. You should _____ ("report" OR "not report") these fluids separately, unless they're _____ (two words) for therapeutic reasons.

Answer #1:

  • not report
  • medically necessary

    Question #2: Your durable medical equipment regional carrier (DMERC) does not consider the IV pole (E0776) _____ (two words) if you report it with an ambulatory infusion pump.

    Answer #2: medically necessary

    Question #3:
    A.
    For you to report codes for a physician supervising radiation therapy services, for example 77427 (Radiation treatment management, five treatments), your documentation must include:

  • the identifiable radiation therapy treatment plan or _____ (one word)
  • the _____ (one word) record of radiation treatments delivered, signed by the _____ (one word)

  • the _____ (one word) to reflect the presence of the radiation oncologist and of his or her immediate availability when the patient is present, for at least _____ (one word) or _____ (one word) days of the treatment
  • The physician's documentation of weekly management must be available to Medicare on request and include at least _____ (one word) weekly progress note or physician's office visit per _____ (one word) fractions delivered

    B. The weekly progress note(s) should include:

  • a statement of current treatment _____ (one word)

  • documentation of the physician's _____ (two words) of the patient during the week

  • the patient's response to treatment

  • a notation of any significant changes in the patient's general medical condition

  • a _____ (one word) regarding the course of therapy.

    Answer #3:
    A.
    prescription

  • chronological; physician
  • schedule; four; five
  • one; five

    B. dosage

  • physical examination
  • recommendation

    Question #4: Your DMERC will cover the supplies used with an external infusion pump during the period your DMERC covers the use of the _____ (two words). Allowance depends on the number of prepared _____ (one word) or _____ (one word), or used _____ (one word).

    Answer #4:

  • infusion pump
  • cassettes
  • bags
  • syringes

    Question #5: Code A4221 includes _____ (one word) for the catheter site and _____ (two words) not directly related to drug infusion. The catheter site may be a peripheral intravenous line, a peripherally inserted central catheter (PICC), a centrally inserted intravenous line with either an external or subcutaneous port, or an _____ (two words). Code A4221 also includes all _____ (one word), _____ (one word), _____ (one word) and _____ (two words).

    Answer #5:

  • dressings
  • flush solutions
  • epidural catheter
  • annuals
  • needles
  • dressings
  • infusion supplies

    Answers to #1, 2, 4, and 5 come from Nancy Martin, CPC, at ACT Medical Group in South Carolina. Answer #3 comes from Linda Lively, MHA, CCS-P, RCC, CHBME, founder and CEO of American Medical Accounting and Consulting in Marietta, Ga.