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Z51.12
ICD-10-CM
Infusion of Rituximab-abbs

Find comprehensive information on Rituximab-abbs infusion diagnosis, including ICD-10 codes, clinical documentation requirements, healthcare billing guidelines, and medical coding best practices. This resource covers proper coding for Rituximab administration, diagnosis coding for conditions treated with Rituximab, and documentation tips for accurate reimbursement. Learn about Rituximab-abbs infusion coding, billing, and clinical documentation for optimal healthcare claim submission.

Also known as

Rituximab-abbs infusion
Truxima infusion

Diagnosis Snapshot

Key Facts
  • Definition : Administering Rituximab-abbs intravenously.
  • Clinical Signs : Often no immediate signs. Monitor for infusion reactions (fever, chills, rash).
  • Common Settings : Oncology clinics, infusion centers, hospitals (outpatient or inpatient).

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z51.12 Coding
Z51.81

Encounter for antineoplastic immunotherapy

Covers encounters specifically for antineoplastic immunotherapy like Rituximab.

T45.1X5A

Poisoning by monoclonal antibodies

Used for adverse effects, poisoning, or toxic effects from Rituximab.

Y84.2

Adverse effect of monoclonal antibody therapy

Captures complications or adverse reactions due to Rituximab infusion.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is Rituximab-abbs given for a specific disease?

  • Yes

    Is documentation sufficient?

  • No

    Is it for prophylaxis?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Rituximab-abbs infusion
Rituximab infusion
Infusion reaction to Rituximab

Documentation Best Practices

Documentation Checklist
  • Rituximab-abbs infusion diagnosis documented
  • ICD-10 code for Rituximab-abbs indication
  • Date and time of Rituximab-abbs infusion
  • Dosage of Rituximab-abbs administered
  • Patient tolerance of Rituximab-abbs noted

Coding and Audit Risks

Common Risks
  • Unlisted HCPCS Code

    Rituximab-abbs may require unlisted J code due to lack of specific HCPCS, leading to claim denials if supporting documentation is insufficient.

  • Dose Documentation

    Inadequate documentation of Rituximab-abbs dosage can cause coding errors and claim rejections. CDI should query for dose units and frequency.

  • Medical Necessity

    Lack of clear documentation supporting the medical necessity of Rituximab-abbs infusion can trigger audits and denials. ICD-10 diagnosis must justify treatment.

Mitigation Tips

Best Practices
  • Document Rituximab-abbs biosimilar use per payer/FDA rules for accurate HCPCS J9317 billing.
  • Ensure clear CDI of infusion reactions for correct ICD-10-CM coding (T42.0X5A, etc.) & risk adjustment.
  • Verify & document premedication orders (steroids, antihistamines) to minimize adverse reaction risks.
  • Monitor patient vitals closely during & after infusion per protocol, document thoroughly for compliance.
  • Educate staff on Rituximab-abbs guidelines for safe administration & waste disposal (USP <800>)

Clinical Decision Support

Checklist
  • Confirm diagnosis: Non-Hodgkin's Lymphoma (NHL) or Chronic Lymphocytic Leukemia (CLL) documented
  • Pre-medication orders: Corticosteroid, antihistamine, and antipyretic documented
  • Baseline labs: CBC, CMP, and LDH checked and documented
  • Patient informed consent for Rituximab-abbs infusion obtained and documented

Reimbursement and Quality Metrics

Impact Summary
  • Rituximab-abbs infusion reimbursement: HCPCS J9311, ICD-10-CM coding accuracy impacts payer contract compliance.
  • Accurate Rituximab-abbs billing improves hospital revenue cycle management, reduces claim denials.
  • Quality metrics: Rituximab-abbs reporting affects hospital performance scores, value-based care reimbursement.
  • Proper documentation of Rituximab-abbs administration is crucial for accurate hospital quality reporting.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • J9355 Rituximab-abbs
  • Document dose, route
  • Check diagnosis link to infusion

Documentation Templates

Patient presented for scheduled infusion of Rituximab-abbs.  The indication for Rituximab therapy is [Specify indication, e.g., relapsed or refractory follicular lymphoma, rheumatoid arthritis, granulomatosis with polyangiitis].  Patient's current disease status is [Specify current disease status, e.g., stable, progressive, partial response].  Prior to infusion, patient's vital signs were reviewed: temperature [record temperature], heart rate [record heart rate], blood pressure [record blood pressure], respiratory rate [record respiratory rate], oxygen saturation [record oxygen saturation].  Patient reported [mention any symptoms or lack thereof, e.g., no new symptoms, mild fatigue, joint pain].  Pre-medication with acetaminophen, diphenhydramine, and methylprednisolone was administered as per protocol.  Rituximab-abbs [dosage] was infused intravenously over [duration].  Patient tolerated the infusion well.  Post-infusion vital signs remained stable.  Patient will be monitored for any adverse reactions including infusion-related reactions, such as fever, chills, rigors, nausea, vomiting, hypotension, or dyspnea.  Patient education was provided regarding potential side effects and instructed to contact the clinic if any concerning symptoms develop.  Follow-up appointment scheduled for [date].  ICD-10 code [Specify appropriate ICD-10 code, e.g., C85.9  Non-Hodgkin's lymphoma, unspecified, M05.71 Seropositive rheumatoid arthritis involving multiple joints] and CPT code [Specify appropriate CPT code, e.g., 96413, 96415, 96417 depending on services rendered] were utilized for billing purposes.
Infusion of Rituximab-abbs - AI-Powered ICD-10 Documentation