AHA Coding Clinic® for HCPCS - 2016 Issue 1; Ask the Editor


What is the appropriate drug administration code for the reporting of the Prolia/Xgeva, also known as Denosumab? CPT coding guidelines state, “Chemotherapy administration codes 96401-96549 apply to parenteral administration of non-radionuclide anti-neoplastic drugs; and also to anti-neoplastic agents provided for treatment of non-cancer diagnosis (e.g., cyclophosphamide for auto-immune conditions) or to substances such as certain monoclonal antibody agents, and other biologic response modifiers. Although this drug is given at different dosages for different indications, nonetheless it is a monoclonal antibody so would it be appropriately reported with the chemotherapy administration code 96401? ...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.

The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.