Encounter Anti Neoplasm therapy

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When the encounter is solely for the chemotherapy treatment, I understand that Z51.11 or Z51.12 should be the principle diag listed. My confusion begins when all the lab work is included on the same claim form. Does the Z code still need to be in the principle diag position instead of the neoplasm code? Will all the labs still pay with a Z code as prime diag? We are having an issue of header level diag versus line level diag. Also confused if it applies to Professional as well as Facility. I appreciate any feedback.
 
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Thank you so much for your assistance. Just one more thing. Is this documented any where? I'd love to be able to read the verbage that the Z code should be the first listed diag if the encounter is soley for the chemotherapy treatment regardless of other procedures/services done during that specific encounter. I can't seem to find anything that blantantly speaks to that.
 

mitchellde

True Blue
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Go to your coding guidelines.. first on the first page in the third paragraph you will see where it states that these guidelines are HIPAA mandated, next go to the chapter for Z codes and at the end of that chapter is a section titled z codes that only allowed first-listed. There is a list and you will see Z51.1 section is on this list.
 
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