Wiki Z51.11

[sorcha48]

The guidelines say that Z51.11 can be first-listed or primary if the encounter is 'chiefly' for the administration of medication to treat neoplasm.

What defines as 'chiefly'? If the patient is seen after treatment by the provider?

 

[rachaelwilleford]

For example, if the codes being billed are for antineoplastic treatment. If it's for a physician visit, I wouldn't use Z51.11. Instead I'd use the chief complaint/primary reason for the visit (usually the cancer that's being treated for example) for the visit codes. Also keep in mind that there is a NCCI edit with chemo admin codes and the office visit codes.