Results 1 to 8 of 8

Post chemo monitoring

  1. #1
    Question Post chemo monitoring
    Medical Coding Books
    Would V58.69 be an appropriate code for a home health agency to use as primary dx for monitoring a patient currently on chemotherapy, but not administering it? Is there another code that would be better?

  2. #2
    Location
    Columbia, MO
    Posts
    12,841
    Default
    V58.6x codes are all secondary only allowed dx codes. V58.83 encounter for therapeutic drug monitoring is allowed first and requires a V58.6x code as a secondary code. This may fit your scenario, but I would need to know more to make a full determination.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Goodness, you are right, it can only be used as secondary code. Our home health nurse wanted to use V67.2, but we saw that was only for use if treatment was completed, which it is not (it also looks like a code for treating physician only as well?). She is basically assessing the effects of chemotherapy as part of her nursing assignment, but not, as V58.83 says, measuring drug levels in the body. I am new at this, and we have a very small home health side, really for pre-hospice pts. We were advised by another home health agency to use V58.11, but we are not providing the chemotherapy either, so that can't be right.

  4. #4
    Location
    Columbia, MO
    Posts
    12,841
    Default
    Perhaps using the cancer code then is what you need to do since that is the patient's main issue and why the nurse is there and monitoring for side effects is just part of the disease process then you can use the V58.69 second.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default
    Thanks for the input! I'll go over it w/the clinical director.

  6. #6
    Default
    BTW, one more question, about V66.2........can't find much description or any examples of using this code; would this apply in any way to our situation?

  7. #7
    Location
    Columbia, MO
    Posts
    12,841
    Default
    That is a code for convalesence following chemo. It is first listed only and for when the purpose is convalesent care only. Usually this is used after all chemo tx and the patient just needs some care to bring them back up to speed. Not generally used while chemo is still ongoing.

    Debra A. Mitchell, MSPH, CPC-H

  8. #8
    Default
    thanks again.........................

Similar Threads

  1. Chemo Physician billing for "Intratheacal Chemo"
    By Celina in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-03-2014, 07:52 AM
  2. seizure monitoring
    By montgomeryj2 in forum Neurology/Neurosurgery
    Replies: 1
    Last Post: 05-11-2012, 01:55 PM
  3. Post ct scan lab monitoring code
    By lsmft in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-30-2010, 09:43 AM
  4. Post-Treatment Monitoring
    By CWare1124 in forum Billing/Reimbursement
    Replies: 2
    Last Post: 09-20-2010, 09:34 AM
  5. Glucose Monitoring
    By JennH in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 04-30-2009, 07:25 AM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.