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Home/Diagnosis/ICD-10 Coding for Chemotherapy Status

ICD-10 Coding for Chemotherapy Status

Z51.11
Z92.6

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

Also Known as:
Chemo Status
Chemotherapy Encounter
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Key Information: ICD-10 Coding for Chemotherapy Status

Essential facts and insights about ICD-10 Coding for Chemotherapy Status

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 actively receiving chemotherapy
documentation:
  • Treatment intent and cycle number are documented

Applicable To

  • • Current chemotherapy treatment

Important Notes

  • • Ensure documentation specifies active treatment to avoid confusion with historical treatment codes.

Personal history of chemotherapy

Non-Billable
Z92.6
Non-Billable

Diagnostic Criteria

clinical:
  • Use when the patient has completed chemotherapy and is no longer receiving treatment

Applicable To

  • • History of chemotherapy treatment

Important Notes

  • • Ensure the treatment is completed and documented as history.
Ancillary Codes

Additional codes that may be used with this diagnosis

T45.1X5A

Adverse effect of antineoplastic and immunosuppressive drugs

Use when documenting adverse effects from chemotherapy, such as nausea or vomiting.

Frequently Asked Questions

What is the ICD-10 code for chemotherapy status?

The ICD-10 code for an encounter for antineoplastic chemotherapy is Z51.11, used when a patient is actively receiving chemotherapy.

When should Z92.6 be used instead of Z51.11?

Use Z92.6 for a personal history of chemotherapy when treatment is completed, and the patient is no longer receiving chemotherapy.

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