Oncology & Hematology Coding Alert
Oncology/Hematology Coding:
Look to History When Coding This Breast Symmetry Encounter
Question: In 2019, a patient had a bilateral mastectomy and bilateral breast reconstructio... Read more
Look to History When Coding This Breast Symmetry Encounter
Question: In 2019, a patient had a bilateral mastectomy and bilateral breast reconstructio... Read more
Oncology/Hematology Coding:
Don’t Get Left in the Dark by Dx Documentation
Question: One of our physicians is not putting diagnoses on their on-treatment visit (OTV)... Read more
Don’t Get Left in the Dark by Dx Documentation
Question: One of our physicians is not putting diagnoses on their on-treatment visit (OTV)... Read more
Oncology Coding:
Code This Chemo Infusion Administration Scenario
Don't forget to pay attention to 2025 HCPCS deletions and revisions. Coding infusions is ... Read more
Code This Chemo Infusion Administration Scenario
Don't forget to pay attention to 2025 HCPCS deletions and revisions. Coding infusions is ... Read more
Oncology Coding:
Use Two Claim Lines in This Bilateral Mastectomy Scenario
Question: We recently had a patient come in for a bilateral mastectomy. The left breast ha... Read more
Use Two Claim Lines in This Bilateral Mastectomy Scenario
Question: We recently had a patient come in for a bilateral mastectomy. The left breast ha... Read more
Oncology Coding:
Don’t Take This Advice for PET Scan Dx
Question: I am having terrible issues with referring doctors using R91.8 for 78815/A9552. ... Read more
Don’t Take This Advice for PET Scan Dx
Question: I am having terrible issues with referring doctors using R91.8 for 78815/A9552. ... Read more
Oncology Coding:
Take Time to Code Care Management Services Correctly
Know your provider type and bundled services. Oncology stands out as a specialty not only... Read more
Take Time to Code Care Management Services Correctly
Know your provider type and bundled services. Oncology stands out as a specialty not only... Read more
Oncology Coding:
Look to Treatment and Determine Active or History Dx
Question: Patients who have breast cancer, and who have had the malignancy removed, will f... Read more
Look to Treatment and Determine Active or History Dx
Question: Patients who have breast cancer, and who have had the malignancy removed, will f... Read more
Oncology/Hematology Coding:
Heed This Guideline for Complications Treatment Coding
Question: We had a patient come in suffering from nausea and vomiting; they have cervical ... Read more
Heed This Guideline for Complications Treatment Coding
Question: We had a patient come in suffering from nausea and vomiting; they have cervical ... Read more
Oncology/Hemotology Coding:
Know the Dos and Don’ts of Coding Long-Term Cancer Drug Use
Hint: Look at your ICD-10-CM long-term drug use appendix. Whether you're coding the long-... Read more
Know the Dos and Don’ts of Coding Long-Term Cancer Drug Use
Hint: Look at your ICD-10-CM long-term drug use appendix. Whether you're coding the long-... Read more
Oncology Coding:
Find the Key to This Immunotherapy Encounter
Question: What is the correct primary diagnosis code for Keytruda? Should I use Z51.11&nbs... Read more
Find the Key to This Immunotherapy Encounter
Question: What is the correct primary diagnosis code for Keytruda? Should I use Z51.11&nbs... Read more
Oncology/Hematology Coding:
Understand TNM Staging to Improve Dx Specificity
Let provider ocumentation guide you to the correct number of codes. As an oncology coder,... Read more
Understand TNM Staging to Improve Dx Specificity
Let provider ocumentation guide you to the correct number of codes. As an oncology coder,... Read more
Oncology/Hematology Coding:
Get to the Point With This GIST Coding Guidance
Question: What is a gastrointestinal stromal tumor (GIST), and how is it coded? New Jerse... Read more
Get to the Point With This GIST Coding Guidance
Question: What is a gastrointestinal stromal tumor (GIST), and how is it coded? New Jerse... Read more
Oncology Coding:
Sequence These 2 Codes for Myxofibrosarcoma IMRT
Question: A patient came in for intensity-modulated radiotherapy (IMRT) to treat myxofibro... Read more
Sequence These 2 Codes for Myxofibrosarcoma IMRT
Question: A patient came in for intensity-modulated radiotherapy (IMRT) to treat myxofibro... Read more
Oncology/Hematology Coding:
Take on These Common Oncology Coding Challenges
Make sure you avoid these interpretation errors. Oncology coding is a critical component ... Read more
Take on These Common Oncology Coding Challenges
Make sure you avoid these interpretation errors. Oncology coding is a critical component ... Read more
Oncology Coding:
Let This NCD Be Your Guide to Correct CAR-T Administration Billing
Question: Our providers are trying to bill CPT® code 38228, and the claims are continuous... Read more
Let This NCD Be Your Guide to Correct CAR-T Administration Billing
Question: Our providers are trying to bill CPT® code 38228, and the claims are continuous... Read more
Oncology Coding:
Mind Manifestation in This Myelodysplastic Syndrome Situation
Question: The provider documented myelodysplastic syndrome (MDS) and pancytopenia. Un... Read more
Mind Manifestation in This Myelodysplastic Syndrome Situation
Question: The provider documented myelodysplastic syndrome (MDS) and pancytopenia. Un... Read more
Oncology Coding:
Make Note of These ICD-10-CM Oncology Revisions for 2026
And take this advice about how to incorporate them. If you were busy and missed the Cente... Read more
Make Note of These ICD-10-CM Oncology Revisions for 2026
And take this advice about how to incorporate them. If you were busy and missed the Cente... Read more
Oncology Coding:
Use This Train of Thought for Coding Monoclonal Antibody Drug Administration
Question: Our team is discussing how to validate the administration code (chemo or non-che... Read more
Use This Train of Thought for Coding Monoclonal Antibody Drug Administration
Question: Our team is discussing how to validate the administration code (chemo or non-che... Read more
Oncology/Hematology Coding:
Code This ESA Scenario With Ease
Question: We are treating a Medicare patient with Procrit using J0885. The patient has ane... Read more
Code This ESA Scenario With Ease
Question: We are treating a Medicare patient with Procrit using J0885. The patient has ane... Read more
Oncology/Hematology Coding:
Make Your Way Through the Malaise of This Coding Muddle
Question: A patient on a course of chemotherapy for lymphoma came in complaining of fatigu... Read more
Make Your Way Through the Malaise of This Coding Muddle
Question: A patient on a course of chemotherapy for lymphoma came in complaining of fatigu... Read more
Oncology/Hematology Coding:
Know How Social Determinants Affect Oncology Coding
Capture the complexity of cancer care by painting the full patient picture. According to ... Read more
Know How Social Determinants Affect Oncology Coding
Capture the complexity of cancer care by painting the full patient picture. According to ... Read more
Oncology/Hematology Coding:
Look to These Dx for CA 19-9 Immunoassay Necessity
Question: What ICD-10-CM code should I use to prove medical necessity if our provider... Read more
Look to These Dx for CA 19-9 Immunoassay Necessity
Question: What ICD-10-CM code should I use to prove medical necessity if our provider... Read more
Oncology/Hematology Coding:
Know When to Bill for Hydration Services
Question: If a patient received hydration for 45 minutes, then a chemotherapy infusio... Read more
Know When to Bill for Hydration Services
Question: If a patient received hydration for 45 minutes, then a chemotherapy infusio... Read more
Oncology/Hematology Coding:
Code Chemo Complications Quickly and Correctly
Not all negative reactions to antineoplastic medications should be coded as adverse effect... Read more
Code Chemo Complications Quickly and Correctly
Not all negative reactions to antineoplastic medications should be coded as adverse effect... Read more
Oncology/Hematology Coding:
Understand Drug Toxicity Monitoring for High-Risk MDM
Question: According to the Risk of Complications element of the CPT® medical decision mak... Read more
Understand Drug Toxicity Monitoring for High-Risk MDM
Question: According to the Risk of Complications element of the CPT® medical decision mak... Read more
Oncology/Hematology Coding:
Follow this Beginners Guide to IMRT Coding
And make note of the 2026 code and technology changes. Caveats live and breathe within in... Read more
Follow this Beginners Guide to IMRT Coding
And make note of the 2026 code and technology changes. Caveats live and breathe within in... Read more
Oncology/Hematology Coding:
Connect to This Leiomyosarcoma Code
Question: I am trying to code leiomyosarcoma (LMS) of the sigmoid colon. I have found... Read more
Connect to This Leiomyosarcoma Code
Question: I am trying to code leiomyosarcoma (LMS) of the sigmoid colon. I have found... Read more
Oncology/Hematology Coding:
Interpret Guideline I.C.2 Correctly for Flawless Neoplasm Dx Coding
Be sure to take note of these helpful examples. If you want to hone your ability to code ... Read more
Interpret Guideline I.C.2 Correctly for Flawless Neoplasm Dx Coding
Be sure to take note of these helpful examples. If you want to hone your ability to code ... Read more
Oncology/Hematology Coding:
Sequence This Radiation Sequela Scenario Successfully
Question: Our provider recently diagnosed a patient with lymphedema and began treating the... Read more
Sequence This Radiation Sequela Scenario Successfully
Question: Our provider recently diagnosed a patient with lymphedema and began treating the... Read more
Oncology/Hematology Coding:
Know When to Bill Separate E/M With Chemo Clearance
Question: Are there guidelines out there for when you would and would not bill an evaluati... Read more
Know When to Bill Separate E/M With Chemo Clearance
Question: Are there guidelines out there for when you would and would not bill an evaluati... Read more
Oncology/Hematology Coding:
Consider Cause in This Cancer Anxiety Coding Conundrum
Question: Our providers often address the patient's anxiety related to their new cancer di... Read more
Consider Cause in This Cancer Anxiety Coding Conundrum
Question: Our providers often address the patient's anxiety related to their new cancer di... Read more
Oncology/Hematology Coding:
Look to Neuroendocrine Features for Correct SCC Coding
Question: In my research I have learned that small cell carcinomas are considered a neuroe... Read more
Look to Neuroendocrine Features for Correct SCC Coding
Question: In my research I have learned that small cell carcinomas are considered a neuroe... Read more
Oncology/Hematology Coding:
Get the Answers to These Frequently Asked Sickle Cell Disease Questions
Here's how to handle reporting SCD crises. Sickle cell disease (SCD) “affects more than... Read more
Get the Answers to These Frequently Asked Sickle Cell Disease Questions
Here's how to handle reporting SCD crises. Sickle cell disease (SCD) “affects more than... Read more
Oncology/Hematology Coding:
Look to This Scenario to Master Metastatic CSF Cancer Coding
Question: A patient had a lumbar puncture that showed metastatic breast cancer to the cere... Read more
Look to This Scenario to Master Metastatic CSF Cancer Coding
Question: A patient had a lumbar puncture that showed metastatic breast cancer to the cere... Read more