I have a provider that is insisting he was instructed by the ASCO to code all chemotherapy patients a level 5. I find this hard to believe. (FYI…We are seeing the patients in the office setting and not the ones who are administering the chemo. We do write the chemo order. The patient is receiving it outpatient through the hospital). Everything in his note states the patient is stable and doing well. Has anyone else heard this? Many of these patients are seen every 1-2 weeks and I do not see how all these appointments could be a level 5. I have asked the provider for a link or copy of this information but have not received a reply back. Any information anyone has would be greatly appreciated. Thank you!

His actual reply is as follows:

All patients getting chemotherapy would be considered high complexity management. They would all be considered "Drug therapy requiring intensive monitoring for toxicity"

This was a subject that came up at ASCO recently and everyone was surprised about billing them at level 4.