VI_4_2 Chemotherapy Codes

VI.4.2 Chemotherapy Codes

Chemotherapy is a drug treatment that utilizes powerful chemicals to kill fast-growing cancer cells.

Use the following codes for recording chemotherapy in the summary field.

Coding Instructions:

Code chemoembolization as 01, 02, or 03 depending on the number of chemotherapeutic agents involved.
Use codes 00-87 for recording chemotherapy in the at this facility field.

Note: Do not code 99 when recording therapy “at this facility”, if Class of Case is coded to 00, 30 or 31.

Note: Referral to a medical oncologist is considered a recommendation. Follow-up on these cases is required to determine whether chemotherapy was administered or not, and code accordingly. This applies to cases diagnosed January 1, 2010 and forward.

Codes:

Code	Description
00	None, chemotherapy was not part of the planned first course of therapy. Diagnosed at autopsy
01	Chemotherapy, nos.
02	Single-agent chemotherapy.
03	Multi-agent chemotherapy administered as first course therapy.
82	Chemotherapy was not recommended/administered because it was contraindicated due to patient risk factors (i.e., comorbid conditions, advanced age).
85	Chemotherapy not administered because the patient died prior to planned or recommended therapy.
86	Chemotherapy was not administered. It was recommended by the patient's physician, but was not administered as part of the first course of therapy. No reason was stated in patient record.
87	Chemotherapy was not administered. It was recommended by the patient's physician, but this treatment was refused by the patient, a patient's family member, or the patient's guardian. The refusal was noted in patient record.
88	Chemotherapy was recommended, but it is unknown if it was administered.
99	It is unknown whether a chemotherapeutic agent(s) was recommended or administered because it is not stated in patient record. Death certificate only.

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