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Oncology & Hematology Coding Alert

Stem Cell Coding:
Tips To Simplify Stem Cell Transplant Coding
Do not miss any of these steps: Harvesting, storage, and transplanting. When oncologis... Read more
ICD-10-CM Coding:
Follow These Five Steps To Make Your Way To Correct Neoplasm Coding
The pathology report will guide you to the right code in the neoplasm table. Coding ne... Read more
Watch for POS Updates for Outpatient Hospital Services In 2016
Be definitive for campus services and prepare to welcome a new code. In 2015, the outp... Read more
Learn More with These Neoplasm Coding Examples
Here are some examples that will help you gain a better understanding of neoplasm coding... Read more
Reader Question:
Look for Related Conditions in Influenza Diagnosis
Question: How can we report the diagnosis of swine flu influenza in ICD-10-CM? Ohio Su... Read more
Reader Question:
Establish Medical Necessity for Screening Breast MRI
Question: How can we report a screening MRI? Our physician wants to schedule a breast MR... Read more
You Be the Coder:
Confirm Non-ESRD Use for J0881
Question: A patient who is on chemotherapy treatment for lymphoma, presents for a weekly... Read more
CPT® 2016:
Prepare to Incorporate CPT® Code Changes for E/M, POS, And Vaccines In The New Year
Watch for two new “add-on” E/M codes to capture prolonged clinical staf... Read more
Stressed About New Diagnosis Coding? Follow this Expert Advice
Training is key: Make sure you have a plan for it. Coders and practices have embraced ... Read more
Adopt This 3 Step Approach for Accurate Bone Biopsy Claims
You can report biopsy with excision, destruction, removal, repair or fixation procedures... Read more
Reader Question:
Do Not Submit More Than 1 Unit of 36430 per Transfusion
Question: Our physician transfused two units of blood. Can we submit two units of c... Read more
Reader Question:
Look for Specific Codes for Type I, II Diabetes
Question: ICD-10-CM seems to have different codes for type I and type II diabetes. ... Read more
You Be the Coder:
You Can Report for Counseling with Vaccination on Same Day
Question: Our physician administered the human papillomavirus (HPV) vaccine and did... Read more
2016 News:
Kcentra: You Can Earn New Technology Add-On Payment for FY 2016
Adopt procedure code 30283B1; the hemophilia diagnosis does not support the use of Kcent... Read more
What is Kcentra?
According to the website:, Kcentra is the first and only non-activa... Read more
Gear Up To Welcome ICD-10-CM This October 2015
Embrace combination codes and seventh digits and focus on code family. The much awaite... Read more
Practice Management:
3 Tips to Help You Meet Challenges in Electronic Health Records
Stay ahead of updates, keep up patient interactions, and keep track of issues. Provide... Read more
CMS, AMA Smooth Transition
The deal: CMS and the AMA announced that they’ve forged a partnership to help prac... Read more
Reader Question:
Check New Codes for Brachytherapy
Question: We received a denial for brachytherapy code 77327 on grounds that the cod... Read more
Reader Question:
Beware Bundle in Pleural Biopsy and Drainage
Question: In a patient with lung cancer, who developed breathlessness, our physicia... Read more
You Be the Coder:
Turn to 38204 for Donor Search and Planning
  Question: Our provider is planning a transplant and looking for suitable d... Read more
3 Questions Help Check Your Understanding For Intralesional Corticosteroid Injections
Keep a count of lesions and not injections for codes11900 and 11901. Corticosteroid in... Read more
Are You Good To Go For ICD-10-CM?
Preparation, education, and testing will help you to make a smooth transition. With th... Read more
Oncology Practice:
Medicare Spends: Problems and Solutions
Oncologists favor a panel of health experts to decide Medicare payments based on cost-be... Read more
Follow These Simple Rules To Strengthen Your 11900 Claims
Be accurate on units for HCPCS codes. Check Site of Injection Answer 1: The correct ... Read more
Reader Questions:
Submit for Second-Strain Flu Testing
Question: Can we report two line items of the same code if our physician performs two... Read more
Reader Questions:
Diagnostic Codes Apply After Treatment Too
Question: For how long after treatment can we use the cancer diagnosis code 183.0 f... Read more
Reader Questions:
Consider Stage as HPI Component
Question: Can we take stage of the malignancy as an indicator of the severity or pr... Read more
You Be the Coder:
Submit Genetic Susceptibility for BRCA-1 Mutation
Question: Can we submit a BRCA-1 mutation as a diagnosis? New York Subscriber Answe... Read more
CMS News:
CMS Update: You Can Hope To Refine Your Biosimilar Coding
Medicare to adopt common J codes for biosimilar and reference biologic drugs. The Cent... Read more
Practice Management:
Follow This Expert Advice for Non-Physician Practitioner Billing
Your practice may be losing 15 percent reimbursement if you ignore the basics. Non-phy... Read more
ICD-10-CM Coding:
3 Tips To Report Right Codes For Benign Neoplasms of Central Nervous System
You are mistaken if you think all ICD-9-CM codes have a one-to-one match. ICD-10-CM wi... Read more
ICD-10-CM News:
CMS Will Allow You To Prepare During The First Year
Make sure you are submitting codes from the ‘right family.’ CMS and AMA ma... Read more
Reader Questions:
Use Specific Codes for Prophylactic Vaccinations
Question: We billed 90732 and 90471 with a diagnosis of V06.6. We have received a d... Read more
Reader Questions:
Account for Wastage in Rituximab Injections
Question: How can we report when our physician administers 150 mg of rituximab? N... Read more
Reader Questions:
Earn For Consultation Services
Question: Our physician offered consultation services to a patient who was in treat... Read more
You Be the Coder:
Pay Attention to Details for Chemotherapy Induced Anemia
Question: A patient who is in treatment for lymphoma has developed anemia. The patien... Read more
HCPCS Update:
Have Zarxio Claims? Update Your HCPCS Coding With Transmittal R3254CP
Effective July 2015, submit level II HCPCS code Q5101 for biosimilar Zarxio. Get ready... Read more
Brush Up Basics For Zarxio
What is Zarxio? Zarxio is a biosimilar filgrastim produced by Escherichia coli bacteria ... Read more
ICD-10-CM Coding:
Assess Your Understanding for Malignant Genitourinary Neoplasm Coding
Do not miss payment if your physician does not specify side of the tumor. In follow up to... Read more
Case Study:
3 Examples Will Refine Your Smoking Cessation Reporting
You can report both HCPCS codes and CPT® codes only if the documentation is clear. ... Read more
Reader Questions:
Append Modifier for Repeat Pap Smear
Question: Our physician performed a Pap smear and sent it for histopathological exami... Read more
Reader Questions:
Report Dermatofibrosarcoma protuberans with 239.2
Question: Our physician made a diagnosis of Dermatofibrosarcoma protuberans after a biop... Read more
You Be the Coder:
You Can Report 61020 with 96542
Question: How do we report when the physician performs an aspiration of CSF followed ... Read more
Cancer Screening:
You Will Now Get Medicare Payment for Lung Cancer Screening
Your patient may be covered for LDCT screening once per year if needed criteria are met. ... Read more
ICD-10-CM Coding:
Test Your Understanding for Genitourinary Neoplasm Coding With These Top 10 Questions
Ascertain location of malignant neoplasm and laterality of the tumor. When reporting m... Read more
You Needn't Fear Denials: CMS Accepts Modifier 59.. for Now
Wait for CMS instructions on how to use X modifiers; use this time to update your system... Read more
Reader Questions:
Learn How to Distinguish New vs Established Patients
Question: If one of our internists referred a patient to one of our NPs for primary c... Read more
Reader Questions:
Check Payer Preferences for Advance Care Codes
Question: Our physician spent time discussing end of life planning as a part of adv... Read more
You Be the Coder:
Submit 795.0x for Abnormal Pap Smear
Question: In a patient who had an abnormal Pap smear, a cervical biopsy was done. I... Read more
Coding Tips:
Gain Clarity to Report Genetic Counseling with These Top 5 Questions
Pay attention to who provided the services. You may face denials for genetic counselin... Read more
Update Your Practice to Calculate Microcuries for A9606
New methodology does not change cost of treating an average-weight patient. You have b... Read more
What is Xofigo?
Xofigo is radium Ra 223 dichloride that is available as an injection. Your physician wil... Read more
Gear Up To Implement ICD-10-CM This Year without Fail
Testing reveals 81% success rate; most errors unrelated to ICD-10-CM.  You can now b... Read more
Do Not Anticipate Any Further Delays for ICD-10-CM
Obama signs the Medicare access and CHIP reauthorization act. If you haven’t yet be... Read more
Reader Questions:
Confirm Pathology Service before Submitting Mohs Codes
Question: A patient presented to our physician with a diagnosis of primary squamous c... Read more
Reader Questions:
Biopsy Isn't Mandatory To Diagnose Cancer
Question: In an elderly patient, who showed signs of bone metastasis, our physician... Read more
Reader Questions:
Be Specific for Scratch/Prick Tests with 95004
Question: A patient reported to our office with wheezing, shortness of breath, and ex... Read more
Reader Questions:
ICD-10-CM Has More Than One Options for Dry Mouth
Question: In a patient, who has been on chemotherapy, our physician has documented ... Read more
You Be the Coder:
Check if or when Payers Cover Non Face-To-Face Services
Question: In a patient with suspected acute myeloid leukemia, our physician wanted ... Read more
Coding Tips:
Follow These 3 Steps To Banish The Blues For Blinatumomab Claims
Check with payer for reimbursement and do not miss the pre-medications. Blinatunomab (... Read more
Learn More about Blinatumomab
On December 3, 2014, the U. S. Food and Drug Administration granted approval for blinatumo... Read more
Prepare To Conquer Your Providers' Thinking on ICD-10-CM
ICD-10-CM is likely to introduce more accountable care.  Your providers may have ... Read more
4 Tips Help You Regain Confidence To Submit Claim For Oral Chlorpromazine Hydrochloride
Keep in mind the 48-hour period timeline. You may miss out on payment if you ignore es... Read more
Reader Questions:
Do Not Forfeit Reimbursement for Flu Shots
Question: What is the new code introduced in 2015 for the quadrivalent influenza vacc... Read more
Reader Questions:
Cause of Vulvar Dysplasia Doesn't Influence Diagnosis Coding
Question: Our oncologist diagnosed a stage 0 vulvar neoplasm. The histopathology re... Read more
You Be the Coder:
Append Modifier 53 for Discontinued Infusions
Question: Our physician treated a patient of non-Hodgkin’s lymphoma with ritu... Read more
Take This Quiz To Conque Challenges In Chemotherapy Reporting
Check for procedure, medication, and diagnosis. Your medication administration coding ... Read more
Diagnosis Coding:
Get Smart To Report Codes For Uncertain Diagnosis For Neoplasms
Hold claims in case pathology report confirms uncertain diagnosis; differentiate ‘... Read more
Assess Your Coding Skills:
Coding Quiz Answers
List all infusions and accurately time each infusion. Kelly C. Loya, CPC-I, CHC, CPhT,... Read more
Adopt These 3 Rules To Simplify Physician Signature Requirements
Avoid any undue delays in documenting signatures. Complying with physician signature rule... Read more
Reader Question:
Target 236.2 for Borderline Ovarian Tumors
Question: The pathology report for our patient being investigated for ovarian cancer ... Read more
Reader Question:
Bill for All Doses of Vaccines
Question: Our physician administered half dose of flu vaccine instead of a full dos... Read more
Reader Question:
Cystoscopic Surveillance Does Not Guide Your Bladder Cancer Reporting
Question: Please provide directions for reporting ‘history of bladder cancer&... Read more
You Be the Coder:
Establish Cause for Screening Breast MRI
Question: Does Medicare pay for a screening breast MRI? Our physician is scheduling... Read more
Navigate Your Way To Correct Chemotherapy Administration Coding With These Tips
Keep a watch on time of infusion and earn for sequential drugs, if any. When coding fo... Read more
5 Pearls of Wisdom For Chemotherapy Administration
Here are five important tips that will serve as a guide for your chemotherapy administra... Read more
Make Your E/M Coding Error Free With These Expert Tips
Document medical necessity and justify shared visits. Insufficient documentation and c... Read more
Evaluate What Options You Have For Ebola Diagnosis
Do not ignore cases with suspected exposure; list every possible symptom. Ebola infect... Read more
Reader question:
ICD-10-CM Offers Direct Match for Anogenital Warts
Question: How do we report anogenital warts in 2015 when ICD-10-CM is implemented? ... Read more
Reader question:
Do Not Submit 96368 for Infusions in Same Bag
Question: Our physician administered decadron and aloxi as an intravenous piggy bac... Read more
Reader Question:
Differentiate Excision vs Destruction for Skin Cancer
Question: Is there a difference between excision and destruction of basal cell carc... Read more
You Be the Coder:
Confirm Trained Counselor for 96040
Question: Can we submit code 96040 for genetic counseling? Is it correct to submit ... Read more
Follow These Tips to Increase Your Income for Infusions and Injections
Always confirm the route of administration and the duration of infusions. You may be r... Read more
Meet HIPAA Compliance for Telemedicine
Policymakers are examining all aspects of telemedicine lately — from promoting imp... Read more
Find Error Free Way for E/M Coding With These Expert Tips
Find out why under-coding is just as bad as over-coding. Evaluation and management (E/... Read more
ICD-10-CM Update:
Look For an Easy Switch for Enlarged Lymph Nodes in ICD-10-CM
Remember to distinguish localized vs generalized. If you come across notes from your o... Read more
Reader Question:
Earn For Each Intravenous Infusion
Question: Our physician administered the following non-chemotherapy agents: To... Read more
Reader Question:
Do Not Look At Sampling Method for Breast Biopsy
Question: Which CPT® codes can we report for needle-core and rotating biopsy de... Read more
Reader Question:
Check with Your Payer For T1013
Question: Can you please provide guidance for when it is appropriate to use T1013 w... Read more
You Be the Coder:
Confirm Hematuria When You Report Interstitial Cystitis
Question: Our physician reported interstitial cystitis in a patient who had hematur... Read more