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Chemo pre meds

  1. Exclamation Chemo pre meds
    Medical Coding Books
    Need help coding the premeds for chemotherapy induced nausea and vomiting. What code do I use for the premeds that are ordered prophylatically? They are not experiencing any vomiting or nausea when they arrive for their treatment, but the doctor orders the premeds prophylatically. Please advise since we cant get a straight answer from anyone.

  2. #2
    Default chemo premeds follow up
    We bill WPS medicare and most commerical insurance the V58.11/V58.12, that covers the reason why we need to pre-med without incorrectly coding the claims.

  3. #3
    Location
    Overland Park Kansas
    Posts
    22
    Default
    I would code V07.8 for prophylactic measures and if it is a Medicare patient I would use V07.39 as they do not recognize the V07.8.

  4. #4
    Default
    Pre meds such as Magnesium, Mannitol and Potassium to Cisplatin is billed w/ the V58.11 or V58.12 depending on what you're premedicating to what type of drug. Usually the prophylactic drugs is given to prevent the N&V during the chemo.
    Kiana CPC, CPC-H, BCS-M, BCS-R

  5. #5
    Location
    Columbia, MO
    Posts
    12,526
    Default
    Yes you bill the V58.11 or V58.12, as this is the reason for the meds.

    Debra A. Mitchell, MSPH, CPC-H

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