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Home/Diagnosis/ICD-10 Coding for Chemotherapy

ICD-10 Coding for Chemotherapy

Z51.11
C50.912

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chemotherapy includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Chemo
Antineoplastic therapy
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Key Information: ICD-10 Coding for Chemotherapy

Essential facts and insights about ICD-10 Coding for Chemotherapy

Use ICD-10 code Z51.11 for encounter for antineoplastic chemotherapy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for antineoplastic chemotherapy

Billable Code
Z51.11
Billable

Diagnostic Criteria

clinical:
  • • Patient is receiving chemotherapy as part of cancer treatment.
documentation:
  • • Documented start and stop times for chemotherapy infusion.

Applicable To

  • • Chemotherapy session
  • • Chemotherapy administration

Important Notes

  • • Ensure Z51.11 is sequenced first when chemotherapy is the primary reason for the encounter.

Malignant neoplasm of left breast, female

Billable Code
C50.912
Billable

Applicable To

  • • Breast cancer, left side

Important Notes

  • • Ensure laterality is specified in the documentation.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.31

Long-term (current) use of antineoplastic drugs

Use for patients on long-term oral chemotherapy.

Frequently Asked Questions

What is the ICD-10 code for chemotherapy?

The ICD-10 code for an encounter for chemotherapy is Z51.11, which should be used when chemotherapy is the primary reason for the visit.

How should chemotherapy be documented?

Document chemotherapy with start and stop times, specific drug names, and the cancer being treated to ensure accurate coding and billing.

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