2025 Coding and Payment Guide for Medical Oncology/Hematology Services (Spiral)
Optum | 2025 |
CPT is a registered trademark of the American Medical Association.
- Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in your practice. With CPT® E/M Guidelines and our Optum Coding Tips, you have all the information you need to select the correct E/M code for the service provided.
- Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure codes, making your coding process for procedures and E/M services quick and efficient.
- ICD-10-CM code icons – Icons identify male and female-only codes, as well as age-related and laterality diagnosis codes.
- Quickly find information. All the information you need is provided, including CPT® full code descriptions, lay descriptions, coding tips, procedure code-specific documentation and reimbursement tips, post op or follow up days, Medicare edits including IOM references and Medicare Unlikely Edits designations (MUE), and commonly associated ICD-10-M diagnosis codes.
- Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with the total RVUs for non-facility and facility also included.
- Customized HCPCS Level II Section. HCPCS codes commonly used in oncology and hematology with their full descriptions, a customized chemotherapy drug table including brand names, and FDA approved usage are included for easy reference.
- CPT® Assistant references. Identify that an article or discussion of the CPT® code has been in the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct volume.
- Helpful illustrations. The detailed illustration section provides a better understanding of anatomy.
- ICD-10-CM Neoplasm Table. Provides an alphabetic listing directly from the 2025 ICD-10-CM table of malignant neoplasms.
- CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their associated CCI edits are provided in a special section. Quarterly updates are available online at the Optumcoding.com Product Update page.
CPT® is a registered trademark of the American Medical Association
Anita Schmidt, BS, RHIA, AHIMA-approved ICD-10-CM/PCS Trainer
Ms. Schmidt has expertise in ICD-10-CM/PCS, DRG, and CPT® with more than 15 years’ experience in coding in multiple settings, including inpatient, observation, and same-day surgery. Her experience includes analysis of medical record documentation, assignment of ICD-10-CM and PCS codes, and DRG validation. She has conducted training for ICD-10-CM/PCS and electronic health record. She has also collaborated with clinical documentation specialists to identify documentation needs and potential areas for physician education. Most recently she has been developing content for resource and educational products related to ICD-10-CM, ICD-10-PCS, DRG, and CPT®. Ms. Schmidt is an AHIMA-approved ICD-10-CM/PCS trainer and is an active member of the American Health Information Management Association (AHIMA) and the Minnesota Health Information Management Association (MHIMA).
CPT is a registered trademark of the American Medical Association.