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chemotherapy

  1. #11
    Location
    Columbia, MO
    Posts
    12,839
    Default
    Medical Coding Books
    I use a PDR and it is the most valuable tool for this.

    Debra A. Mitchell, MSPH, CPC-H

  2. Default history of
    Is it just me, or does anyone else have a problem with their providers always using the current dx, when the documentation clearly shows, recurrence at a different site/history of?

  3. Smile v58.11
    our practice always uses v58.11 2nd to the cancer code

  4. Default
    Per Texas Medicare Guidelines. V58.11 is considered a secondary code, they do NOT want it listed as primary. Also if you read the LCD's there are very few chemo drugs that will pay if the secondary site is noted as primary. They still want the primary cancer dx listed as primary.

  5. #15
    Location
    Columbia, MO
    Posts
    12,839
    Default
    Quote Originally Posted by r&rmorales View Post
    Per Texas Medicare Guidelines. V58.11 is considered a secondary code, they do NOT want it listed as primary. Also if you read the LCD's there are very few chemo drugs that will pay if the secondary site is noted as primary. They still want the primary cancer dx listed as primary.
    Medicare guidelines cannot supersede the coding guidelines from the CDC, the are a set of coding rules required to be adhered to under HIPAA. V58.11 is first list only allowed.

    Debra A. Mitchell, MSPH, CPC-H

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