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. Author manuscript; available in PMC: 2013 Jan 1.
Published in final edited form as: Cancer. 2011 Jun 20;118(1):248–257. doi: 10.1002/cncr.26248

Table 1.

Medicare Billing Codes

Variable Billing Codes

Gastrectomy ICD-9-CM procedure 43.5x-43.99
CPT 43620–43622, 43631–43634

General chemotherapy administration ICD-9-CM diagnosis V58.1
ICD-9-CM procedure 99.25
HCPCS C1166, C1167, C1178, C9110, C9205, C9207, C9213–C9216, C9411, C9414–C9419, C942x, C9430–C9438, G0355, G0356, G0359–G0362, J7150, J85xx–J87xx, J8999, J9xxx, Q0083–Q0085, S9325–S9329, S933x–S937x, S9494–S9497
CPT 9651x–9654x, 964xx
Revenue center 0331, 0332, 0335
DRG 410
BETOS O1D

Radiation therapy administration ICD-9-CM diagnosis V58.0
ICD-9-CM procedure 92.2x
HCPCS S8049
CPT 77xxx, 79xxx; revenue center 0330, 0333, 0339.
DRG 409
BETOS P7A
Inpatient (MEDPAR) indicator for receipt of radiology oncology services, and MEDPAR indicator for receipt of radiology therapeutic services.

Diagnosis of metastatic disease ICD-9-CM diagnosis 196–199

BETOS: Berrenson-Eggers Type Of Service

CPT: Current Procedural Terminology

DRG: Diagnosis Related Groups

HCPCS: Health Care Financing Administration Common Procedure Coding System

ICD-9-CM: International Classification of Diseases 9th Revision Clinical Modification