Revenue Cycle Insider

Oncology/Hematology Coding:

Understand Drug Toxicity Monitoring for High-Risk MDM

Question: According to the Risk of Complications element of the CPT® medical decision making (MDM) table, “drug therapy requiring intensive monitoring for toxicity” is listed as a high risk of morbidity. Does that mean any toxic drug administration automatically rises to that level? Colorado Subscriber Answer: The definitions that accompany the CPT® Evaluation and Management (E/M) Services Guidelines specify that [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

September 2025

View All