When are the code series 0537T-0540T reported?
Codes 0537T, 0538T, 0539T, and 0540T describe the various steps required to collect, prepare, transport, receive, and administer genetically modified T cells. The collection and handling code (0537T) may be reported only once per day, regardless of the number of collections or quantity of cells collected. Similarly, the administration code (0540T) may only be reported once per day, regardless of the number of units administered. The development of genetically modified cells is not reported with this family of codes. The services described by codes 0537T, 0538T, and 0539T are not performed by a hospital, but rather by a specialty lab or manufacturer that is contracted to prepare the individual CAR-T doses.
This question was answered in our Coding Essentials for Infusion & Injection Therapy Services. For more hot topics relating to infusion services, please visit our store or call us at 1.800.252.1578, ext. 2.
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