Patient is receiving chemotherapy and immunotherapy. Is your primary code z51.11 or z51.12 or do you use both?
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Z51.11
I’ve been coding Oncology for a number of years now and every once in awhile this question pops up again so I was hoping for a general consensus.
When a patient comes in for chemotherapy and received therapeutic supportive drugs as well would we still use code Z51.11 as the principal diagnosis, or would we ONLY use that when the patient gets ONLY chemotherapy drugs during the visit?
When a patient comes in for chemotherapy and received therapeutic supportive drugs as well would we still use code Z51.11 as the principal diagnosis, or would we ONLY use that when the patient gets ONLY chemotherapy drugs during the visit?
Use of Z51.11, E/M visit only
When an active chemotherapy treatment patient sees the physician for a follow up office visit only with the Oncologist (no chemotherapy administered that day,) I was taught to sequence the cancer diagnosis first, and include Z51.11 and/or Z51.12 sequenced as last. I’ve never had a claim reject but one has recently hit an edit due to this.
Does anyone else include Z51.11 and/or Z51.12 for an E/M visit for date of service that chemotherapy is not being administered?
Billing R11.0 or Z51.11 for Antimetics
Hello I am having hard time determining whether or not to use R11.0 or Z51.11. For example if a patient comes in for chemo but doesn’t state they have nausea. Would you use the R11.0 to prevent nausea due to chemo. Or code R11.0 when patient states they do have nausea.