Coding for clinical trials.
Although CMS reimburses for routine care associated with clinical trials, it is essential that the correct diagnosis code, modifier, and, where necessary, HCPCS Level II procedure code be assigned to accurately report these qualifying trial services. Remember that not all insurance payors will provide reimbursement for services rendered as part of a clinical trial, and individual payor policies should be obtained and followed for these services.
Parman
Cindy C
CC
Coding Strategies, Inc. cindy.parman@codingstrategies.com
D002986:Clinical Trials as Topic / Q000145:classification*; D004282:Documentation; D006801:Humans; D038801:International Classification of Diseases; D008499:Medical Records; D006278:Medicare; D009369:Neoplasms / Q000628:therapy*; D012051:Reimbursement Mechanisms; D014481:United States