AHA Coding Clinic® for ICD-9 - 2003 Second Quarter

Q & A

A 50-year-old patient with a history of acute lymphoblastic leukemia and previous placement of an ommaya reservoir is admitted for the second course of intrathecal chemotherapy. Our facility presently codes intrathecal chemotherapy and intraommaya chemotherapy as codes 99.25, Injection or infusion of cancer chemotherapeutic substance, and code 03.8, Injection of destructive agent into spinal canal. But, based on the "includes note" at category 99.2, Injection or infusion of other therapeutic or prophylactic substance, an additional code may be assigned for the intrathecal injection. Is it appropriate to assign code 03.92, Injection of other agent into spinal canal, for intrathecal chemotherapy? ...

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