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Oncology & Hematology Coding Alert

You Be the Coder:

Test Your Infusion Coding Mettle

Published on Thu Sep 13, 2012

Question: How should I report the following chemotherapy encounter for a patient with Ewing's sarcoma of the femur? 2mg, vincristine, IV, 5 minutes1.81 mg, dactinomycin, IV push1668 mg, cyclophosphamide, IV, 1 hour333.6 mg, mesna mixed in same bag as cyclophosphamideTexas SubscriberAnswer: Ewing's sarcoma is a rare bone cancer that is most likely to affect children and young adults. For a femur sarcoma, you should report 170.7 (Malignant neoplasm of long bones of lower limb). Remember to report V58.11 (Encounter for antineoplastic chemotherapy) first if the main purpose of the encounter is chemotherapy. The corresponding ICD-10-CM codes are C40.2- (Malignant neoplasm of long bones of ... lower limb) and Z51.11 (Encounter for antineoplastic chemotherapy). Note that the fifth character of the neoplasm code will vary based on whether the leg is unspecified (0), right (1), or left (2).For the administration, begin with the mixture of cyclophosphamide and mesna in the same bag. [...]
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