AMA CPT® Assistant - 2023 Issue 11 (November)

Pharmaco-oncologic Algorithmic Treatment Ranking (0794T) (November 2023)

November 2023 page 19 Pharmaco-oncologic Algorithmic Treatment Ranking (0794T) A new Category III code (0794T) was added to the CPT code set effective July 1, 2023, to report a patient-specific, assistive, rules-based algorithm for ranking pharmaco-oncologic treatment options. In addition, a new heading “Pharmaco-oncologic Algorithmic Treatment Ranking” and associated guidelines were established to define pharmaco-oncologic treatment ranking and outline the appropriate reporting of this code. This article provides an overview of this addition. Pharmaco-oncologic Algorithmic Treatment Ranking Code 0794T (pharmaco-oncologic treatment ranking) represents rules based algorithm–generated match scores that rank available monotherapies and drug combinations according to their ability...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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