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Oncology & Hematology Coding Alert

ICD-10-CM Update:
Sickle-Cell and Hemolytic Anemia Diagnoses Highlight Your Upcoming Oncology/Hematology Changes
Always report the code with the highest level of specificity, based on documentation. Oc... Read more
Identify Possible Errors in Your Intra-Arterial Claims — Before They Happen
Determine whether you have to own the pump to report 96425. If you assume that intra-ar... Read more
Conquer These Medicare Billing Areas of Confusion With 4 Tips
Hint: Consider utilizing an MSP questionnaire. Successfully maneuvering through the Med... Read more
You Be the Coder:
Here’s How to Code for Hearing Loss
Question: Our physician documented a diagnosis of mixed hearing loss in a patient who... Read more
Reader Questions:
How to Bill “Where Do We Go from Here” Visits
Question: If the patient is seen in the post-operative period for follow-up to discuss the... Read more
Reader Question:
Use This Code for Cushions and Foams
Question: Can we use code 77334 for cushions used during radiation therapy? Florida Subsc... Read more
Reader Questions:
Count Patches When Reporting Allergy Testing
Question: Our physician performed a patch test for allergy testing. How can we report this... Read more
Overlooking Your Cancer Diagnosis Codes? 2 Tricky Scenarios Test Your Skills
Here's how National Coverage Determination (“NCD”) guidelines can influence your code ... Read more
Case Study:
Capture the Right Codes for This Breast Cancer Counseling Encounter
Find out if you can bill for both a sick and preventive service during the same visit. If... Read more
3 Tips Will Polish Up Your Modifier 78 Claims
If the MD performs an unplanned procedure during global period, avoid doing this. Your su... Read more
Reader Questions:
Understand Office Level Visits to Avoid Confusion
Question: I'm having a hard time understanding the difference between a level 4 and l... Read more
Reader Questions:
You Can Report 61020 with 96542
Question: How do we report when the physician performs an aspiration of CSF followed by ad... Read more
Reader Questions:
Take a Step Back for Debulking Services
Question: Patient with recurrent ovarian cancer with previous TAH/BSO undergoes new surger... Read more
You Be the Coder:
Pinpoint the Correct Lymphoma Code
Question: My provider recently had me code for a non-Hodgkin lymphoma that affected t... Read more
Here’s How to Draw the Line Between Platelet and Blood Transfusions
Heads up: Bill one unit of 36430 for every transfusion. Platelet transfusion is not the s... Read more
E/M 2021:
Part 2: Here’s How Established Office E/M Codes Will Shift in 2021
You shouldn't overlook history and exam. In “Part 1: Nix 99201 From Your New Patient Of... Read more
Focus on Empathy When Connecting with Patients
Use these tips for showcasing bedside manner through telehealth. Even though using techn... Read more
Reader Question:
Do Not Submit 96368 for Infusions in Same Bag
Question: Our physician administered decadron and aloxi as an intravenous piggyback infusi... Read more
Reader Question:
Account for Multiple Respiratory Virus Tests
Question: Our in-house lab often gets orders for both SARS-CoV-2 testing and testing for I... Read more
Reader Question:
Confirm Trained Counselor for 96040
Question: Can we submit code 96040 for genetic counseling? Is it correct to submit E/M cod... Read more
You Be the Coder:
Physical Exam Requirements over Telehealth
Question: Due to the COVID-19 pandemic, our providers are performing mostly telehealth vid... Read more
Confront 2 Challenges for Thyroid Nodule Fine Needle Claims
Here's what to do if your MD changes their imaging guidance method. Even in this era of s... Read more
Follow These Expert Tips for Perfect 2020 Prolonged Services Claims
Key: Watch the clock and add up all time spent on one calendar day. With the PHE for COV... Read more
Keep Your Oncology Physician Queries Spick and Span Using These Tips
Read on for answers to your most frequently asked questions. Physician queries-and the an... Read more
Reader Question:
Do Not Forget Incident-To Services
Question: A patient diagnosed with reticulolymphosarcoma in the inguinal lymph nodes prese... Read more
You Be the Coder:
Here’s How You Should Use Modifier CS
Question: What is modifier CS, and how should I use it? Texas Subscriber Answer:  ... Read more
Get Your Oncology Practice Up to Date with the Latest COVID-19 Coding Information
Find out why you should not use B34.2 as a diagnosis coding option. As you know, the 2019... Read more
Update Your Telehealth Coding Tactics with This Q&A
Don't assume this means you can use 99441-99443. With the outbreak of the novel coronav... Read more
5 Rules You Can Follow to Improve Your Oncology Documentation
Do not assume EMRs are flawless. Documentation compliance is as important as coding accu... Read more
Reader Question:
Take These Steps to Protect ePHI
Question: My practice plans to switch over to exclusively using electronic faxes, but befo... Read more
You Be the Coder:
Understand Services Inclusive in Preventive Care Visits
Question: A 50-year-old new male patient who had a strong family history of cancer, report... Read more
NCCI 26.0:
Be Certain You’re Applying New Nerve Block, Excision, and Radiology Oncology Edits
Also, consider new 2020 E/M codes bundled into the regular office E/M codes. If you're ap... Read more
Hematology/Oncology Practices Incurred $121 Million in Improper Payments
Insufficient documentation one of biggest errors found in latest report by CMS. As you ar... Read more
E/M 2021:
Part 1: Nix 99201 From Your New Patient Office E/M Codes in 2021
Tip: Look at either MDM or time to choose the appropriate outpatient code. You may not of... Read more
Reader Question:
Here’s Your CHONC Optional Reference Guide
Question: I am going to sit for the exam this year. Under references it has: Optional... Read more
Reader Question:
Note These Levels of Appeals
Question: I submitted a claim to my region's Medicare Adminis­trative Contractor (MAC) fo... Read more
Reader Question:
Procedure Codes Include Preparation
Question: In a patient planned for a biopsy, our physician did an evaluation for about 20 ... Read more
You Be the Coder:
Draw the Line Between Observation and Admission
Question: Our oncologist saw a patient on 2/1/20 and then admitted her on 2/2/20. What cod... Read more
Urological Malignancy:
4 Tips Uncover How to Code Ultrasound Evaluation Of Urological Malignancy
Learn when to report ‘complete' vs ‘limited' evaluation. The extent of the evaluation... Read more
Ethically Maximize Your Bottom Line for Multiple Anti-Emesis Claims
Heads up: The 48-hour rule does not apply to Q0166 and Q0180. You may find yourself perpl... Read more
Medical Practice Tips:
10 Tips Will Help Your Oncology & Hematology Practice Work More Efficiently This Year
Make a formal error-checking process to keep your practice moving smoothly. You know each... Read more
Reader Question:
Fatigue and Asthenia are Not the Same
Question: In a patient with confirmed cancer, our oncologist documented fatigue. How can w... Read more
Reader Question:
Special Symbol Identifies Add-On Codes
Question: I noticed that some evaluation and management (E/M) codes have a plus symbol (+)... Read more
You Be the Coder:
GIST Diagnosis
Question: What is the appropriate code for GIST, and how do I find it? California Subscri... Read more
Diagnostic Tests:
3 Tips Protect Your Prostate Specific Antigen Testing Claims from Coding Mishaps
Heads up: CMS considers urological signs or symptoms payable diagnoses for PSA determinati... Read more
Advance Care:
End Your Confusion for Advance Care Planning Coding
Hint: Always document specifics in advance directives. In the Oncology & Hematol... Read more
5 Steps Prevent Incidental Protected Health Information Disclosures
Patients' data is often impermissibly disclosed due to a lack of staff training. Start th... Read more
Reader Question:
Look for Specific Code for HIT
Question: In a patient who was reported to have venous thrombosis, our physician has docum... Read more
Reader Question:
Check Class for HLA Testing
Question: Our provider does testing for antibodies to HLA in a patient to confirm the gene... Read more
You Be the Coder:
Modifier 25 With Venous Blood Specimen Collection and Labs
Question: Should I apply a modifier 25 onto an E/M visit code (992xx) when my oncolog... Read more