chemotherapy coding

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    Wiki Please help me understand this cpt language "Report only once per sequential infusion" for 96417

    Can someone explain what cpt means by "Report only once per sequential infusion" for 96417 Example: If 3 chemo meds are given. Med 1: 2 hours, Med 2: 1 hour, Med 3: 1 hour 96413 initial chemo, up to 1 hour for Med 1 96415 additional hour of same Med 1 96417 x 2 for the 2nd med 1 hour and...
  2. M

    Wiki Help Needed -- J9271 denied for CO-B15?

    My oncology office has received a denial from Humana for Keytruda (J9271) as part of a patient's treatment regimen, citing reason code CO-B15 with the remark "The required initial service for this drug was not processed, received or allowed." J9271 was billed with a clinic visit (modifier 25...
  3. D

    Wiki Settle a debate for me...

    The guideline for Z51.11- Encounter for antineoplastic chemotherapy and Z51.12- Encounter for antineoplastic immunotherapy is being argued as to what way it should be applied. One side is saying that these codes should be applied to claims for patients who are being treated for a cancer with a...
    • dbrewbaker
    • Thread
    • antineoplastic chemotherapy coding diagnosis coding encounter immunotherapy
    • Replies: 2
    • Forum: ICD-10
  4. H

    Wiki cpc with outpatient, hospital and facility experience

    Nichole Morris, CPC NicholeHMorris85@gmail.com Medical Billing & Coding Accomplished professional with solid background in health care clinical operations, including medical billing and coding standards, financial policies, and medical record documentation. Expertise in insurance...
    • harrin
    • Thread
    • chemotherapy coding claim denials coder 1 denials prevention facility billing hospital coding infusion coding oncology revenue cycle management
    • Replies: 0
    • Forum: Resume Postings
  5. G

    Wiki Billng for drug waste from a MDV if a patient has an allergic reaction

    I am looking for some guidance in coding/billing for drug waste due to a patient having an allergic reaction. I am aware that modifier JW is needed for waste from single dose vials, but is it necessary to report waste separately for unused drugs that are discarded from a multi-dose vial? For...
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