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V code for chemo drug

  1. #1
    Default V code for chemo drug
    Medical Coding Books
    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. 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. Default chemo
    Wait- what class of drugs is the rem- isnt that a monoclonal antibody? Use the V58 code for antineoplastic immunotherapy

  4. #4
    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
    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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