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Coding and Payment Guide for Medical Oncology/Hematology Services — 2021



2021 Coding and Payment Guide for Medical Oncology/Hematology Services

Our Coding and Payment Guide for Medical Oncology/Hematology Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for oncology and hematology medical services. This comprehensive and easy-to-use guide is updated for 2021 and organized by specialtyspecific CPT® codes. Each code includes its official code description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, and commonly associated ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.

Key Features and Benefits
• ICD-10-CM code icons – NEW – Icons identifying male- and female-only codes, as well as agerelated and laterality diagnosis codes.

• Procedure code icons. Quickly identify new, revised, and add-on procedure codes, making your coding process quick and efficient.

• Evaluation and management services. Evaluation and management codes commonly used in your specialty are now included with their official description and lay description, coding tip, Medicare edits, and relative value units.

• Customized HCPCS Level II Section. HCPCS codes and a chemotherapy drug table included for easy reference.

• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in the American Medical Association’s CPT Assistant newsletter. Use the citation to locate the correct volume.

• Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with total RVUs for non-facility and facility are included.

• Quickly find information. All the information you need is provided with the CPT® code, including lay descriptions, coding tips, documentation and reimbursement tips, clinical terms, Medicare RVUs and IOM references, and commonly associated ICD-10-CM diagnosis codes.

• Avoid claim denials and/or audits. Medicare payer information includes references to Internet Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.

• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their associated CCI edits are provided in a special section. 

• Helpful illustrations. Detailed illustration section for a better understanding of anatomy.

• Customized ICD-10-CM Neoplasm Table. Provides an alphabetic listing directly from the 2021 ICD-10-CM table of malignant neoplasms.