Injections or infusions diagnostic & therapeutic procedures G345 - Complex single agent or multi-agent therapy – chemotherapy and/or biologic agent(s) that can cause vesicant damage, infusion reactions, cardiac, neurologic, marrow or renal toxicities that may require immediate intervention by the physician

General Info

Billing Amount: $0.00

Description

Chemotherapy (pharmacologic therapy of malignancy or autoimmune disease) - with administration supervised by a physician for intravenous infusion for treatment of malignant or autoimmune disease. The physician must be available to intervene in a timely fashion at the initiation and for the duration of the prescribed therapy to manage immediate and delayed toxicities. Chemotherapy and patient assessment provided by a physician includes all patient assessments by any physician for a 24 hour period following treatment administration.

Notes:

1. G381, G281, G345 and G359 are only eligible for payment with respect to the following classes of biologic agents:
a. monoclonal antibodies; and
b. cytokines.

Examples that are not considered biologic agents for payment purposes are blood products, insulin, and immunizing agents.

Examples of complex single agents include rituxamib, bevacizumab, trastuzumab, anthracyclines, bortezomib, taxanes, cisplatin, and etoposide fludarabine.