Question:

Do you have any tips on how to bill complex drugs for chemotherapy administration?

Answer:

Both the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) instruct providers to assign codes from the chemotherapy section for the administration of certain highly complex drugs and biologics—even when the therapy is provided for a non-cancer diagnosis. With some exceptions, drugs billed as chemotherapy administration will be associated primarily with a code found in the J9xxx series of HCPCS codes.

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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