Prophylactic Neulasta injection for infection prevention
Coding Clinic, Second Quarter ICD-10 2014 Page: 10 Effective with discharges: May 26, 2014
Question:
A patient who is receiving ongoing chemotherapy for lung cancer presents for Neulasta injection to prevent infection. The patient receives the Neulasta via a subcutaneous injection. The advice provided in the Second Quarter 2010 issue of Coding Clinic for ICD-9-CM advised coders to report code V07.8, Other specified prophylactic or treatment measure, for an encounter for Neulasta administration to prevent an infection. However, there does not seem to be an equivalent code in ICD-10-CM. What are the appropriate diagnosis and procedures codes for an encounter for Neulasta to prevent infection?
Answer:
Assign code Z76.89, Persons encountering health services in other specified circumstances, as the reason for the encounter. Assign also the appropriate code assignment to describe the patient?s cancer. In this case, assign code C34.90, Malignant neoplasm of unspecified part of unspecified bronchus or lung.
If desired, assign ICD-10-PCS procedure code as follows for the subcutaneous injection of Neulasta:
3E013GC Introduction of other therapeutic substance into subcutaneous tissue, percutaneous approach
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