Medical Coding Services for Radiation Oncology

More and more radiation oncology practices are opting for medical coding services. Outsourcing their coding is helping them deal with the ever-increasing complexities involved in reimbursement for this specialty. A…

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OIG Hit List: Perfect Your 38220, 38221, and G0364 Usage

Don’t sweat reporting 38220-59 if you meet these Medicare-approved conditions. If your oncologist takes both a bone marrow biopsy and a bone marrow aspiration, whether you’ll see Medicare reimbursement depends on the two guidelines below. But watch out: With OIG scrutiny and a HCPCS twist, these guidelines will put your coding savvy to the test. Append 59 [...] Related articles:

  1. Coding Education: Bone Marrow Harvesting for Autologous TransplantQuestion: Is there a CPT code specific to harvesting bone...
  2. Use This Podiatry Scenario to Perfect Your Emerging Technology ClaimsHint: If you try to use an unlisted code, be...
  3. Multiple Bronchoscopy Coding Crash Course Head off denials & ratchet up reimbursement with these...

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Oncology Coding: Day 1 of FOLFOX4 Regimen

Here’s the key to concurrent infusion coding. Question: What are the appropriate codes for the first day of the FOLFOX4 regimen? Answer: You should base your final coding decision on the documentation and the exact services your practice provides. But as a starting point, the FOLFOX4 regimen typically involves the patient receiving Oxaliplatin and folinic acid concurrently [...] Related articles:

  1. Oncology Coding Challenge: When Infusion Runs Long Question: The oncologist ordered a 90-minute chemotherapy infusion service,...
  2. Infusion Coding Education: Remicade Coding Hint: Watch for ‘add-ons’ during Remicade sessions Question:...
  3. Do I Use a Chemo Code for Zevalin Therapy?Question: When I looked up Zevalin, I found out it’s...

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Oncology Coding: Update Your PET Claims With This New Guidance

Here are the requirements the exam must meet, according to Medicare. If your PET claim meets certain requirements, you don’t need to append modifier Q0 (Investigational clinical service provided in a clinical research study that is in an approved clinical research study), according to MLN Matters article MM6753. Effective for dates of service on or after Nov. [...] Related articles:

  1. Which PET Code Is Best for Brain Images? Question: Which CPT code is appropriate for PET performed...
  2. Oncology Coding 2010 Update: 3 New Lab Services CodesWatch for your chance to replace 86316 with more specific...
  3. ICD-9 Update: Take Your Oncology Coding Specificity Up a Notch With 7 2010 Changes Tumor lysis syndrome is getting its own code —...

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Oncology Coding 2010 Update: 3 New Lab Services Codes

Watch for your chance to replace 86316 with more specific 86305. If your oncology practice has its own lab, heads up. You’re sure to find a few new lab codes “in CPT 2010 that you need to know,” says Peggy Slagle, CPC, billing compliance coordinator at the University of Nebraska Medical Center in Omaha. Get started with a [...] Related articles:

  1. CPT 2010 Update: Laboratory & Pathology CodingStop using general codes for analyte-specific tests. Here’s why. You...
  2. ICD-9 Update: Take Your Oncology Coding Specificity Up a Notch With 7 2010 Changes Tumor lysis syndrome is getting its own code —...
  3. Oncology Coding: Update Your PET Claims With This New GuidanceHere are the requirements the exam must meet, according to...

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Oncology Billing Toolkit: Factor 8 HCPCS Changes Into Your Superbill

Watch those Taxotere units, or kiss 95 percent of your reimbursement goodbye. A brand new list of HCPCS codes — including docetaxel and bevacizumab updates — goes into effect Jan. 1 and our 8-step superbill maintenance plan will stop denials in their tracks for 2010. Not using the proper codes will lead to claim rejection, which means “not receiving the proper [...] Related articles:

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  2. Check New HCPCS Codes to Keep Pain Management Claims on TrackCatch the changes to botulinum toxin and neurostimulator electrode codes....
  3. Which HCPCS Code Should I Use for Eovist MRI contrast? Question: Which HCPCS code should I use to report...

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