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Thread: Chemo pre meds

  1. #1

    Exclamation Chemo pre meds

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Overland Park Kansas


    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
    Join Date
    Apr 2007


    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
    Join Date
    Apr 2007
    Columbia, MO


    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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