|September 2004 · Vol. 16, No. 9
14-day 5-FU application: Reimbursement unlikelyMELANIE
RN, CPC, MA
Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9-CM coding. When in doubt on a coding or billing matter, check with your individual payer.
Q We are using a tampon coated with 5-fluorouracil (5-FU) cream (daily for 2 weeks) to treat a Medicare patient with highgrade vaginal lesion. Should we assign a low-level E/M code (it doesn’t take long) or is there a better procedure code?
A You will likely have trouble securing reimbursement because 5-FU can be self-administered via a vaginal applicator.