2025 Coding and Payment Guide for Medical Oncology/Hematology Services (Spiral)
Optum | 2025 |
Our Coding and Payment Guide for Medical Oncology/Hematology Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for oncology and hematology medical services. This comprehensive and easy-to-use guide is updated for 2025 and organized by specialty-specific CPT® codes. Each code includes its official description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.
CPT is a registered trademark of the American Medical Association.
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
Leanne Patterson, CPC
Ms. Patterson has more than 15 years of experience in the healthcare profession. She has an extensive background in professional component coding, with proven expertise in assignment of E/M codes, general surgery coding, medical record documentation improvement, and HIPAA compliance. Her experience includes serving as Director of Compliance, conducting chart-to-claim audits, and physician education. She has been responsible for coding and denial management in large multi-specialty physician practices, and most recently has been part of a team developing content for products related to ICD-10-CM. Ms. Patterson is credentialed by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC).
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