Oncology & Hematology Coding Alert

Question: A patient presents for chemotherapy. In the same bag, Decadron phosphate and Zofran IV run from 1:05 to 1:20. There’s an IV infusion of levoleucovorin from 1:20 to 3:25, and then there’s a 5FU bolus IVP from 3:25-3:30. How should I code this? Oklahoma Subscriber Answer: You should report both the administration and IV drug supply. For the final claim, you’ll need to review the amounts administered so you can calculate the number of units for each HCPCS drug code. 5FU: Fluorouracil, also called 5FU, is a chemotherapeutic agent, and it is the primary reason for the infusion service. In this case, it is administered as an intravenous push (IVP). To report the administration, use 96409 (Chemotherapy administration; intravenous, push technique, single or initial substance/drug). Assign J9190 (Injection, fluorouracil, 500 mg) for the 5FU supply. Levoleucovorin: Next, determine the administration and drug J code for the levoleucovorin infusion. Documentation [...]