Oncology & Hematology Coding Alert

 Discover where your strengths lie with these 5 questions Oncology coding requires you to be a jack-of-all-trades and master of all of them. Assess your skills with this wide-ranging quiz, then turn to page 54 to compare your answers to the experts-. 1. Procedure status: Injection and intravenous infusion chemotherapy codes 96401-96417 all have status A on the Medicare Physician Fee Schedule. What does status A mean? 2. IMRT: How many units of 77301 (Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications) should you report per treatment course when you treat multiple targets in the same anatomic site?

A. one unit
B. one unit per target 3. Diagnosis coding: The physician documents that he can't determine the originating point for a patient's neoplasm involving several defined areas of the uterus. What diagnosis code should you report?
 
A. 179 -- Malignant neoplasm of uterus, part unspecified
 
B. 180.8 -- Malignant neoplasm of cervix uteri; other  specified sites of cervix
 
C. 182 -- Malignant neoplasm of body of uterus
 
D. 182.8 -- Malignant neoplasm of body of uterus; other specified sites of body of uterus 4. HCPCS: True or False: For 6 mg of busulfan, you report one unit of C1178 (Injection, busulfan, per 6 mg). 5. Modifier 25: A patient presents for a laryngoscopy, and the physician performs a routine check of the patient's vital stats. Should you report 31575 (Laryngoscopy, flexible fiberoptic; diagnostic) alone or report 31575 with an E/M code and append modifier 25 (Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service)?