AHA Coding Clinic® for HCPCS - 2017 Issue 2; For Your Information

Appropriate reporting of HCPCS code G0498

A clarification of the correct reporting of HCPCS code G0498, Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/other outpatient setting using office/other outpatient setting pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living), was recently posted by the Centers for Medicare & Medicaid Services (CMS) in Transmittal 3728. HCPCS code G0498 describes a service where the facility incurred a facility expense specific to the provision of the non-implantable, external infusion pump. It is noted that since HCPCS code G0498 includes the chemotherapy administration, this code should...

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