Oncology & Hematology Coding Alert
J8561:
Afinitor and Zortress Have a Common Code
Published on Tue Jan 17, 2012
As an oncology coder, you may be interested to know that HCPCS 2012 added J8561 (Everolimus, oral, 0.25 mg), which applies to Afinitor and Zortress. Afinitor is used to treat advanced renal cell carcinoma (RCC) previously treated unsuccessfully with other medications and to treat the brain tumor subependymal giant cell astrocytoma (SEGA) when surgery isn't an option for patients with tuberous sclerosis. Physicians prescribe Zortress with other medications to prevent transplant rejection. Key point:
Other Articles in this issue of
Oncology & Hematology Coding Alert
- Ondansetron Update:
Q0162 Takes the Place of Q0179 in 2012
Tap these resources on Medicare's oral anti-emetic policy.If your practice reports oral anti-emetics, be sure [...] - J8561:
Afinitor and Zortress Have a Common Code
As an oncology coder, you may be interested to know that HCPCS 2012 added J8561 [...] - HCPCS Update:
J1561's New Look Reveals Trade Name and Admin Modifications
Plus: Check out more new codes for pain and fracture prevention.Changes to acetaminophen, denosumab, and [...] - ICD-10-CM:
V58.11 Finds Its Match in Z51.11
Immunotherapy finds a similarly clear counterpart in the new code set.The ICD-9-CM code for a [...] - Clotting Factor Update:
J7180 and J7183 Bring New Options for Corifact and Wilate
Say so long to J7184 and Q2041.Double check the 2012 HCPCS codes before you report [...] - Provider Requirement:
90460-90461 Show Importance of 'Qualified Health Care Professional' Definition
For accurate claims, distinguish these professionals from 'clinical staff.'The definition of "other qualified health care [...] - You Be the Coder:
Are 3 Drugs in 1 Bag Concurrent?
Question: The patient presents for chemotherapy (57-minute infusion). Staff mixed three non-chemo drugs in a [...] - Reader Question:
G0364 or 38220 Depends on Payer
Question: For private payers, should I report G0364 or 38220 for aspiration and biopsy at [...] - Reader Question:
96372 Represents Office EpiPen Injection
Question: We used the EpiPen kit in the office on a patient who experienced an allergic [...] - Reader Question:
280.x Lands on List for Iron Therapy NCD
Question: When a national coverage determination doesn't specify which codes to use, how do we [...]
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