icd 10 code for single-agent chemotherapy

Full Answer

What is the ICD 10 code for chemotherapy?

Encounter for antineoplastic chemotherapy. Z51.11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z51.11 became effective on October 1, 2019. This is the American ICD-10-CM version of Z51.11 - other international versions of ICD-10 Z51.11 may differ.

Are there any drugs that may be administered using the chemotherapy codes?

The drugs cited are not intended to be a complete list of drugs that may be administered using the chemotherapy administration codes.

What is the ICD 10 code for complications of cancer treatment?

Complications of Cancer Treatment ICD-10-CM Code ICD-10-CM Description D61.1 Drug -induced aplastic anemia (aplastic ... D61.810 Antineoplastic chemotherapy induced panc ... D64.81 Anemia due to antineoplastic chemotherap ... D70.1 Agranulocytosis secondary to cancer chem ... 19 more rows ...

What is the Z code for diagnosis?

A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:

What is the ICD 10 code for chemotherapy?

1 for Encounter for antineoplastic chemotherapy and immunotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

How do you code chemotherapy?

Assign code V58. 11, Encounter for antineoplastic chemotherapy, as the principal diagnosis if a patient is admitted solely for chemotherapy administration.

When do you use Z08 and Z09?

Z09 ICD 10 codes should be used for diseases or disroder other than malignant neoplasm which has been completed treatment. For example, any history of disease should be coded with Z08 ICD 10 code as primary followed by the history of disease code.

What is the ICD 10 code for pre chemotherapy?

Report ICD-10 code Z01. 818, Encounter for other preprocedural examination (is defined as Encounter for preprocedural examination NOS and Encounter for examinations prior to antineoplastic chemotherapy), when the test is performed as a baseline study before chemotherapy. List Z01. 818 as your primary diagnosis code.

What is the difference between 96365 and 96413?

Report 96413 for a single or the initial substance given for up to one hour of service. Report 96415 for each additional hour of service beyond the initial hour. If the medication is not chemotherapy you should code 96365 with start and stop times.

What is the CPT code for chemotherapy administration?

Chemotherapy Administration and Other Highly Complex Drug or Highly Complex Biologic Agent Administration CPT® Code range 96401- 96549.

When should ICD-10 code Z09 be used?

ICD-10 code Z09 for Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the difference between Z21 and B20?

Following ICD-10 guidelines, if a patient has or has had an HIV related condition, use B20 AIDS. If the patient has a positive HIV status, without symptoms or related conditions, use Z21.

Can Z09 be used as primary diagnosis code?

Z09 is an appropriate first-listed code and completely acceptable by payers.

What is the ICD 10 code for long term use of chemotherapy?

ICD-10 Code for Other long term (current) drug therapy- Z79. 899- Codify by AAPC.

What is diagnosis code Z5111?

Z5111 - ICD 10 Diagnosis Code - Encounter for antineoplastic chemotherapy - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians.

What is the coding convention for coding an encounter for chemotherapy or radiation therapy?

If a patient admission/encounter is solely for the administration of chemotherapy, immunotherapy or external beam radiation therapy assign code Z51. 0, Encounter for antineoplastic radiation therapy, or Z51.

When will the ICD-10 Z51.11 be released?

The 2022 edition of ICD-10-CM Z51.11 became effective on October 1, 2021.

What is a Z00-Z99?

Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:

When will the ICd 10 Z79.899 be released?

The 2022 edition of ICD-10-CM Z79.899 became effective on October 1, 2021.

What is a Z77-Z99?

Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

When will the ICd 10 Z92.21 be released?

The 2022 edition of ICD-10-CM Z92.21 became effective on October 1, 2021.

What is a Z77-Z99?

Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

The article will address anti-neoplastic agent codes provided for treatment of noncancer diagnoses or to substances such as monoclonal antibody agents, and other biologic response modifiers. The drugs cited are not intended to be a complete list of drugs that may be administered using the chemotherapy administration codes.

ICD-10-CM Codes that Support Medical Necessity

J9070 Cyclophosphamide (Cytoxan) 100 mg Coverage for indications other than oncologic diseases.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

Can anemia be treated during chemotherapy?

Anemia, a common side effect of chemotherapy, must be treated during the course of therapy. The provider should document the specific type of anemia to meet medical necessity requirements when billing for anemia drugs during the course of treatment.

Do you have to accurately document and code chemotherapy administration services?

You must accurately document and code chemotherapy administration services to properly bill for the resources and supplies consumed. To ensure that the practice is compensated for the services rendered, be sure to address the following documentation issues that can result in improper charge capture and billing.

What is the ICD code for cardiomyopathy?

I42.7 is a billable ICD code used to specify a diagnosis of cardiomyopathy due to drug and external agent. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

What is an additional code note?

Use Additional Code note means a second code must be used in conjunction with this code. Codes with this note are Etiology codes and must be followed by a Manifestation code or codes.