Hematology and oncology billing is driven by infusion services and high-cost drugs. Correct administration codes, drug units and waste reporting are essential, because a single error can affect a very large claim.
Anemia
Leukemia and lymphoma
Multiple myeloma
Breast cancer
Lung cancer
Colorectal cancer
Clotting disorders
Sickle cell disease
| Code | Description |
|---|---|
| 96413 | Chemotherapy IV infusion, up to 1 hour |
| 96415 | Chemotherapy IV infusion, each additional hour |
| 96365 | Therapeutic IV infusion, initial, up to 1 hour |
| 96401 | Non-hormonal anti-neoplastic injection, subcutaneous or intramuscular |
| JW / JZ | Modifiers for discarded drug amounts or zero waste |
Drug HCPCS codes, units, prior authorization and waste modifiers need close attention on every claim. Our team reviews coding, submits clean claims, follows up on denials and recovers unpaid accounts receivable for hematology and oncology practices.