Table 1.
Codes Used to Identify Patients Undergoing Colon Resection Surgery and Receiving Chemotherapy
| Code | Condition/Procedure/Regimen |
|---|---|
| Colon resection surgery | |
| ICD-9-CM | |
| Diagnosis | |
| 153 to 153.9 | Colon cancer |
| Procedure | |
| 17.3 to 17.39 | Colectomy—laparoscopy |
| 45.7 to 45.79 | Colectomy—open |
| 45.8 to 45.83 | Intra-abdominal colectomy |
| CPT-4 | |
| 44140 to 44160 | Colectomy—open |
| 44204 to 44212 | Colectomy—laparoscopy |
| BETOS | |
| P1B | Major procedure—colectomy |
| Chemotherapy | |
| HCPCS | |
| J0640 | Injection—leucovorin calcium 50 mg |
| J8520, WW089, WW090, WW091 | Capecitabine 150 mg |
| J8521, WW093, WW094, WW096 | Capecitabine 500 mg |
| J9035 | Injection—bevacizumab 10 mg |
| J9050 | Carmustine 100 mg |
| J9190 | Fluorouracil 500 mg |
| J9201 | Gemcitabine hydrochloride 200 mg |
| J9206 | Irinotecan 20 mg |
| J9303 | Injection—panitumumab 10 mg |
| J9263 | Oxaliplatin 0.5 mg |
| Q0083-Q0085 | Chemotherapy administration |
| G0355-G0363 | Chemotherapy administration |
| CPT-4 | |
| 96400 to 96549 | Chemotherapy administration |
| ICD-9-CM | |
| Diagnosis | |
| V58.1 | Encounter for antineoplastic chemotherapy and immunotherapy |
| V66.2 | After chemotherapy |
| V67.2 | Cancer chemotherapy follow-up |
| Procedure | |
| 99.25 | Injection or infusion of cancer chemotherapeutic substance |
| 99.28 | Injection or infusion of biologic response modifier as antineoplastic agent |
| Revenue center | |
| 0331 | Chemotherapy administration—injection |
| 0332 | Chemotherapy administration—oral |
| 0335 | Chemotherapy administration—intravenous |
| BETOS | |
| O1D | Chemotherapy |
Abbreviations: BETOS, Berenson-Eggers Type of Service; CPT-4, Current Procedural Terminology, Fourth Edition; HCPCS, Healthcare Common Procedure Coding System; ICD-9-CM, International Classification of Diseases, 9th Edition, Clinical Modification.