Procedure Codes for SEER-Medicare AnalysesThe tables below contain codes for procedures that are frequently included in SEER-Medicare analyses. Please note that NCI provides these codes to assist researchers in analyses. Codes may change or may not be complete. NCI does not accept responsibility for the completeness or currency of the information below. Investigators should check that all relevant codes are included in their analysis. Chemotherapy Codes
* Historically, HCPCS ranging from J9000-J9999 have been used to identify specific chemotherapeutic agents. However, in more recent years, a number of chemotherapeutic agents and related therapies (anti-emetics etc.) are assigned HCPCS outside of the J9000-J9999 range. Investigators should review the complete list of HCPCS to identify all relevant codes. Excel files with a list of Level II HCPCS can be downloaded from the CMS Web site. Identifying Chemotherapy Codes in the SEER-Medicare Data - 2005 Claims Only (update 1/27/2010)In 2005, CMS implemented the Oncology Demonstration Project. For providers participating in the demonstration project, there are specific HCPCS for chemotherapy administration in the physician and hospital outpatient data. (For G0355-G0363, see Medicare drug administration codes (PDF).) There are additional codes related to the assessment of symptoms associated with chemotherapy use (for G9021-G9032, see 2005 Medicare Demonstration Project Chemotherapy Codes). If these G codes are not included in an analysis, use of chemotherapy in 2005 will be underestimated. These codes are to be used in 2005 only. Radiation Therapy Codes
** These codes are for proton beam therapy, which is not covered by most carriers. For those carriers who do cover it, the conditions for which the carrier will accept these codes are quite limited. Given the limited use of these codes, investigators should evaluate if they are relevant to their analysis. Codes Used to Identify Screening & Related Procedures in the Medicare Claims for Selected Cancers
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