octoHealth

Z51.11

Billable

Encounter for antineoplastic chemotherapy

Chapter 21: Factors influencing health status and contact with health services

Additional Information

From parent codes: Z00-Z99 (Chapter 21)

NotesFrom Z00-Z99

Additional notes from parent codes that apply to this code.

  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Inpatient DRG Payments

DRG 8476,635 discharges

Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc

Avg. Medicare Payment

$12,159

Total Payment$16,023
Patient Responsibility$3,865
Hospital Charge$70,106
DRG 8462,074 discharges

Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc

Avg. Medicare Payment

$27,886

Total Payment$35,632
Patient Responsibility$7,746
Hospital Charge$145,911
DRG 8371,063 discharges

Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy A

Avg. Medicare Payment

$50,344

Total Payment$63,506
Patient Responsibility$13,161
Hospital Charge$239,859
DRG 838518 discharges

Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherap

Avg. Medicare Payment

$21,913

Total Payment$27,095
Patient Responsibility$5,182
Hospital Charge$84,073
DRG 827407 discharges

Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. Procedur

Avg. Medicare Payment

$25,173

Total Payment$32,774
Patient Responsibility$7,601
Hospital Charge$149,565
DRG 829293 discharges

Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Wi

Avg. Medicare Payment

$35,720

Total Payment$48,464
Patient Responsibility$12,744
Hospital Charge$230,278
DRG 828103 discharges

Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. Procedur

Avg. Medicare Payment

$15,673

Total Payment$21,496
Patient Responsibility$5,823
Hospital Charge$130,423
DRG 83936 discharges

Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/mcc

Avg. Medicare Payment

$12,772

Total Payment$14,602
Patient Responsibility$1,830
Hospital Charge$47,940
DRG 82627 discharges

Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. Procedur

Avg. Medicare Payment

$65,885

Total Payment$90,425
Patient Responsibility$24,539
Hospital Charge$343,689