Patient is diagnosed with prostate cancer and is being treated with Lupron. Is the prostate cancer considered active using the C61 code or is it a history of prostate cancer using the Z85.46 code?
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Can I bill for E/M and Lupron Injection during Post op?
32 y/o female s/p Laparoscopic left ovarian cystectomy; partial left oophorectomy; laparoscopic myomectomy; laparoscopic excision of endometrial implant in posterior cul-de-sac; chromopertubation of bilateral fallopian tubes for tx of a left ovarian endometrioma, PCOS, hirsutism, menometrorrhagia, uterine fibroids, infertility, and chronic pelvic pain 8 wks postop here to start 6 month course of Lupron w/ Norethindrone acetate.
– Reviewed tx options for Hirsutism, including spirinolactone and vanicare cream. Pt declined meds at this time. Pt coujnseled on r/b/a to lupron, and s.e. profile. Pt opted to start Lupron course.
– Lupron #1 (1 month) given today.
– Urine pregnancy test neg.
– Pt given Norethindrone today.
Pt is now started on Lupron. When I tried to bill it, Athena alerted me that Pt is within global surgical pkg. I was going to attach Mod 24, but then again some of the problems are the same as before the surgery. Can we never bill Lupron and the visit during the post op period?
Lupron for suppression of ovaries
A patient is being treated for adrenocortical cancer. She is also getting Lupron for ovary suppression in order to preserve some fertility. What ICD-10 would you use with the Lupron?