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Thread: V code for chemo drug

  1. #1
    Join Date
    Apr 2007

    Default V code for chemo drug

    AAPC: Back to School
    Pt is being seen for an encounter of Rituximab for management of his lymphoma. Would I code as V58.11, V58.12 or someother V code?

  2. #2

    Default chemo

    This is covered in the coding guidelines in the front of your ICD-9:

    Assign code V58.11, Encounter for antineoplastic chemotherapy, as the principal diagnosis if a patient is admitted solely for chemotherapy administration. Assign a code for the malignancy as the secondary diagnosis

  3. #3

    Default chemo

    Wait- what class of drugs is the rem- isnt that a monoclonal antibody? Use the V58 code for antineoplastic immunotherapy

  4. #4
    Join Date
    Apr 2007
    Columbia, MO


    RITUXAN is neither chemo nor immunotherapy, it is a BRM drug (biologic response modifier) therefore you do not use either the V58.11 nor the V58.12, you code the lymphoma first listed.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Join Date
    Apr 2007


    Thanks mitchellde. That was my concern being that it is neither chemo nor immunotherapy. So, would it be appropriate to use V58.69 long term current use of other medications?

    And thanks to all those that responded.

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