I’m newer to coding oncology, I was trained briefly before the last person covering the division left. If a patient is admitted to the hospital for chemo treatment and they did the treatment and the doctor noted that they completed their course of chemo treatment on a certain date…the primary diagnosis for those days of chemo treatment are Z51.11…NOW the patient stays in the hospital for monitoring and count recovery for several days after do I still code the Z51.11 as primary diagnosis for all those days even though she is no longer having chemo treatment but it’s related to that OR do I now just code for the cancer as primary and any additional diagnosis?
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Tag Archives: Treatment
Coding for treatment of cervical ectopic pregnancy
Hello,
How would you code the injection of potassium chloride to treat a cervical ectopic pregnancy via transvaginal ultrasound guidance.
Thank you!
43270 for treatment of Barretts
We are using 43270 for the Halo ablation for Barretts. However, we are also now getting denials especially from Private carriers that this code is investigational for the treatment of Barretts.
I need to write an appeal letter stating that 43270 is not investigational and the denial is debatable. Can anyone give me some sources about this code to show it is not investigational
and fight this denial? Thank you
I need to write an appeal letter stating that 43270 is not investigational and the denial is debatable. Can anyone give me some sources about this code to show it is not investigational
and fight this denial? Thank you
Diagnosis vs. treatment diagnosis
I work in a physical therapy office and we recently switched to a new EHR system that has two different spots for ICD 10 codes. One says "Diagnosis" and below that "Treatment Diagnosis" I know the treatment diagnosis would be what the therapist is working on ex. muscle weakess, pain, ect. And the Diagnosis, what the doctor has diagnosed the patient with. But I have never had to split them into different spots before and am wondering if it matters for billing purposes or if it doesnt make a difference if the same codes are in both?
Thanks in advance!
Substance Abuse Treatment – Methadone
Hi, our office is billing for methadone and group/individual counseling. Does anyone else code/bill for substance abuse? Should we be using a modifier 59 to the J3490 when billed with H0030?
Individual Treatment Plan
Hi Folks,
I am reviewing documentation requirements for my psych department. We have written that a treatment plan is required to be updated every 90 days, does this hold true for everyone else as well? How does everyone else handle the treatment plan in their practices?
Z01.818 for E/M visits prior to chemo treatment
We are trying to get more information on using Z01.818 for office visits for patients prior to chemo treatments as they evaluate the effects of chemo on the patient and whether they can continue with their treatment on that day or not. Of course, if no treatment is given, this code cannot be used. These office visits are usually a level 3 or 4, sometimes a 5. We know that the chemo admin code has a low level inherent E/M included. One of the descriptions we found for Z01.818 is "an encounter for examination prior to antineoplastic chemotherapy".
Does anyone use this code? Are there issues with denials and/or certain payers? What is the criteria you use to use this dx?
Thank you.
Insurance coverage for laser treatment of scar
Has anyone had experience billing insurance for laser destruction of traumatic scars? Is there any chance of this being covered unless the provider can demonstrate a functional impairment caused by the scar?
Question about MD provider specialty for SUD treatment centers.
This is sort of a weird question, but I did not know the answer.
In most states, you can run a free standing substance abuse facility with a medical director of any provider specialty. However the standards of care for both United Healthcare and Cigna state that initial psychiatric evaluations have to be done by a board certified psychiatrist or addictionologist. I have heard that Cigna also allows the initial psych evals can be done by a specialized psych ARNP.
So here are my questions. Would it be okay for a psych ARNP to provide the initial face to face psychiatric evaluation? If so, can they report to a medical director that has a scope of practice outside of Psychiatry or Addictionology?
Research and Codes Are Needed for Cannabis Treatment of Parkinson’s
If you don’t think there is a need for more research on medicinal marijuana, just turn to Parkinson’s disease (PD) patients: cannabis gives them hope of subsiding tremors and alleviating dyskinesia. For example, there is Rochester, New York’s Frank DeBlase, a 51-year-old who has been battling Parkinson’s for 17 years, has undergone brain surgery for […]
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