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Wiki Chemotherapy Audit - Please Help!

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tgenius1

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Location
Raleigh, NC
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Coding Scenario
Regimen: Azacitabine Cycle #4
Diagnosis: Myelodysplastic Syndrome
Informed Consent Yes
Pre Chemotherapy patient Status
Alert and Oriented x3, no Distress
IV Access
Peripheral: Right metacarpal vein
Needle/Catheter gauge: 24 gauge
Pre-Medications
Zofran 8mg IV @... 8:30
Drugs:
Azacitabine
Dose/Route: 120mg IV
Time Started 0850
Time Completed 0910
Adverse Reaction No, received and tolerated well
Pre and Post Chemotherapy Education given and accepted

I coded 96143, J9025 (x120 units) and D46.9 (auditor is asking me to recheck J9025 (x120 units) and DX D46.9) any help?
 
Z51.11 as primary dx would be all I could see missing. Is there any waste - is this to an insurance company that would require the reporting of waste? I believe this comes in a 200 mg SDV.
 
no waste to my knowledge. yes it's getting billed to medicare however front office that does the billing did put 120 units on the claim form next to J9025
 
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