Advanced Search

Oncology & Hematology Coding Alert

You Be the Coder:

Match Proper Codes to MOPP Claims

Published on Tue Apr 12, 2011

Question: Which HCPCS and CPT codes are appropriate for MOPP?Florida SubscriberAnswer: The MOPP (also called MVPP) combination chemotherapy regimen includes:M: Mechlorethamine (Mustargen)O: Vincristine (Oncovin or Vincasar)P: Procarbazine (Matulane)P: Prednisone.You should report mechlorathemine using J9230 (Injection, mechlorethamine hydrochloride, [nitrogen mustard], 10 mg). Because it is an antineoplastic, you should report administration using the appropriate chemotherapy administration code(s) (96401-96549).You should report vincristine using J9370 (Vincristine sulfate, 1 mg). Remember HCPCS 2011 deleted J9375 (Vincristine sulfate, 2 mg) and J9380 (Vincristine sulfate, 5 mg). Because vincristine is also a chemotherapy drug, you again should use the appropriate chemotherapy administration code(s) (96401-96549).Don't report these drugs: Procarbazine and prednisone are given orally as part of the MOPP regimen. HCPCS offers S0182 (Procarbazine hydrochloride, oral, 50 mg) and J7506 (Prednisone, oral, per 5mg), but you should not report supply (HCPCS) or administration (CPT) codes for these drugs on your Part B claims. CMS does not cover [...]
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 your eNewsletter
  • 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
*CEUs available with select eNewsletters.

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All