chemo

  1. M

    Wiki Using 99358 and 99359 for chemo treatment plans

    If an Oncologist has an E/M visit with a patient on Day 1, and they determine that the patient is a candidate for chemotherapy that will present to the chemo infusion clinic on Day 14, but on Day 11 they write the specific treatment plan with dosages for approval by the pharmacy can they report...
  2. M

    Wiki Using 99358 and 99359 for Chemotherapy Plans

    If an Oncologist has an E/M visit with a patient on Day 1, and they determine that the patient is a candidate for chemotherapy that will present to the chemo infusion clinic on Day 14, but on Day 11 they write the specific treatment plan with dosages for approval by the pharmacy can they report...
  3. A

    Wiki Post-op chemo and subsequent visits

    Any thoughts on this would be much appreciated. We have received several denials for subsequent hospital visits as "“Pre/post-operative care payment is included in the allowance for the surgery/procedure.” Patient had a biopsy of a mediastinal mass performed using the chamberlain procedure...
  4. W

    Wiki Premeds w/ARNP chemo/MD

    We had a patient started with premeds with no MD onsite, only ARNP. MD arrived and we administered the chemo (same IV as premeds). My thought is to bill the entire infusion (premeds and chemo) under the ARNP. Biller is splitting the premeds under the ARNP, chemo under MD, which causes the...
  5. A

    Wiki Home chemo infusion on same day as outpatient chemo?

    Do patients ever receive home chemotherapy (S9330) AND outpatient facility chemotherapy on the same day? I'm auditing some claims and seeing a patient receive both on the same day and it seems very odd.
  6. C

    Wiki Chemo & Home Health Care

    I code for a home health care agency & the case managers & I are stumped on how to code for our care for chemotherapy patients. We understand that Z51.11 is not for home health care, but is to be used by those actually administering chemotherapy. But, we do a lot of follow-up care - taking...
  7. aimeeread

    Wiki Z51.11 - to drop or not to drop...

    Hello, I have a question as to whether or not you drop the Z code while the patient isn't receiving treatment... For example, if a patient is admitted on 1/1 for induction of chemotherapy, finishes treatment on 1/8, remains in the hospital and has repeat biopsy on 1/14, repeat biopsy shows...
  8. C

    Wiki coding currently undergoing chemotherapy I-10

    Hello, Is there a way to document that a patient is currently undergoing chemo. for lung CA Coding ER and patient has a wound infection not related to chemo, but would like to document chemotherapy as an associated condition. Thanks!
  9. N

    Wiki V65.49 vs V72.83

    My gyn/oncs often see patients a few weeks after surgery to begin planning their chemotherapy. We bill the E&M with the 24 modifier since they are not seeing them for anything related to surgical aftercare but planning for treatment of the underlying condition. We have been using V65.49 but I...
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