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HELP! Q code for an Anti-emetic Infusion

  1. #1
    Default HELP! Q code for an Anti-emetic Infusion
    Medical Coding Books
    Medicare is requiring us to bill out our INFUSION of an anti-emetic (given with chemotherapy) as a Q code. Unfortunatly i can only locate a Q code for ORAL administration. Any suggestions???

    Thanks for your PROMPT help

    -Dani
    Danielle Kiehl

  2. #2
    Location
    North Carolina
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    3,126
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    Not my area of expertise but have you looked at J8597?

    Ohh...wait-you needed a Q code. I'll see what I can find if someone doesn't beat me to it.

    Let me try this again...have you looked at Q0163-Q0181?
    Last edited by RebeccaWoodward*; 08-18-2008 at 02:45 PM.

  3. #3
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    Unfortunatley all of the descriptions specifically state ORAL. That is my conundrum.
    Danielle Kiehl

  4. #4
    Location
    North Carolina
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    3,126
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    Wow...how did I miss that??????

    I'll keep looking. Hopefully someone else has some insight.

  5. #5
    Location
    Greeley, Colorado
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    2,045
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    Quote Originally Posted by Dillie2003 View Post
    Medicare is requiring us to bill out our INFUSION of an anti-emetic (given with chemotherapy) as a Q code. Unfortunatly i can only locate a Q code for ORAL administration. Any suggestions???

    Thanks for your PROMPT help

    -Dani
    Just a thought - has your carrier changed recently? We have found that our new carrier is requesting some really odd coding and have to take it to a higher level to get things straightened out. Sometimes they processed it wrong (hard to believe...)
    Lisa Bledsoe, CPC, CPMA

  6. #6
    Location
    Duluth, Minnesota
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    1,133
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    I wonder if you're going to have to go with the Q0081 code for the IV anti-emetic. (but it's not allowed to be billed with more than one unit per visit)-I can't find another Qcode for IV anti-emetic - all the others ones seem to be a oral now, a "substitute" for the IV.
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  7. #7
    Location
    Jamaica/ Manhattan
    Posts
    39
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    I hope these codes work for you; this is not my area of expertise-

    Q0177 Hydroxyzine pamoate, 25 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0178 Hydroxyzine pamoate, 50 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0164 Prochlorperazine maleate, 5 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0165 Prochlorperazine maleate, 10 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0166 Granisetron HCl, 1 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 24-hour dosage regimen

    Q0167 Dronabinol, 2.5 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0168 Dronabinol, 5 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0169 Promethazine HCl, 12.5 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0170 Promethazine HCl, 25 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0171 Chlorpromazine HCl, 10 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0172 Chlorpromazine HCl, 25 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0173 Trimethobenzamide HCl, 250 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0174 Thiethylperazine maleate, 10 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0175 Perphenzaine, 4 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0179 Ondansetron HCl 8 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

    Q0180 Dolasetron mesylate, 100 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 24-hour dosage regimen

  8. #8
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    Thank you all for your help, that just confirms my first thought that there are not Q codes for INFUSIONS of anti-emetics.

    Thanks again
    Danielle Kiehl

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