First V58.11 is a first only dx and is used for the encounter for the chemo.
Also you might be missing info in box 19 per the following:
Hematocrit or Hemoglobin Reporting
Effective January 1, 2008, claims for the following must report the most recent hematocrit or hemoglobin
reading:
1. All claims for the administration of an ESA (HCPCS J0881, J0882, J0885, J0886 and Q4081).
2. All claims for the administration of a Part B anti-anemia drug that is not self-administered
(other than ESAs) used in the treatment of cancer. (HCPCS codes J1751 and J1752 deleted
effective 4/1/08, HCPCS code Q4098 replaced J1751 and J1752 effective 4/1/08, J1756, and
J2916).
The hematocrit or hemoglobin level should be reported in Item 19 of the Form CMS-1500. The test results
shall be entered as follows: TR= test results (slash), R1=hemoglobin, or R2=hematocrit (slash), and the
most current numeric test result figure up to 3 numerics and a decimal point[xx.x]).
Example for hemoglobin tests: TR/R1/9.0:
Example for Hematocrit tests: TR/R2/27.0:
An you need an administration code, not an office visit if the reason for the encounter is for the drug. If not then the ov with a 25 modifier and the injection admin.
Also per the coding guidelines:
Code 285.22, Anemia in neoplastic disease, and code 285.3, Antineoplastic chemotherapy induced anemia, may both be assigned if anemia in neoplastic disease and anemia due to antineoplastic chemotherapy are both documented.
