General Question for the Week of March 6, 2023

Question:

Is care on the same date of service that is not directly related to the service of administration of the CAR-T cells separately reportable?

Answer:

Care on the same date of service that is not directly related to the service of administration of the CAR-T cells (e.g., care provided after the administration is complete, care for the patient’s underlying condition or for other medical problems) may be separately reported using the appropriate evaluation and management code with modifier 25. However, coders should note that management of uncomplicated adverse events (e.g., nausea, urticaria) during the infusion is not reported separately.

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.