elizabeth24
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We are getting denials for myeloid growth factor injections, particularly Neulasta. I don't code these encounters with Z51.11 as the patient did NOT receive their chemo drug.
I have spoke with someone to see if this would be considered an encounter for immunotherapy, since it's not the patient's chemotherapy regimen, and it is a myeloid growth factor. Z51.12 also meets medical necessity for Neulasta. I am not exactly comfortable with the response they gave me, so I am hoping someone can help. I am still kind of new to coding for oncology.
Their response was that since the Neulasta is RELATED to the chemotherapy then Z51.11 is the CORRECT code to use.
Thoughts? How does everyone else code this when the patient is there for an injection like Neulasta???
Thanks!
I have spoke with someone to see if this would be considered an encounter for immunotherapy, since it's not the patient's chemotherapy regimen, and it is a myeloid growth factor. Z51.12 also meets medical necessity for Neulasta. I am not exactly comfortable with the response they gave me, so I am hoping someone can help. I am still kind of new to coding for oncology.
Their response was that since the Neulasta is RELATED to the chemotherapy then Z51.11 is the CORRECT code to use.
Thoughts? How does everyone else code this when the patient is there for an injection like Neulasta???
Thanks!