Colon cancer forms in the tissues of the colon (the longest part of the large intestine). Most colon cancers are adenocarcinomas (cancers that begin in cells that make and release mucus and other fluids). Rectal cancer forms in the tissues of the rectum (the last several inches of the large intestine closest to the anus). The following sections will assist healthcare professionals and payers by providing appropriate coding and billing information associated with the management of colorectal cancers.
The following sections include:
- Associated ICD-9-CM codes used for the classification of colorectal cancer
- Drugs that have been FDA-approved in the treatment of colorectal cancer
- Drugs that are Compendia listed for off-label use for colorectal cancer based on clinical studies that suggest beneficial use in some cases. Please note: if a check mark appears in the FDA column it will NOT appear in the Compendia off-label use column
- Corresponding HCPCS/CPT® codes and code descriptions
- Most recent ASP plus 6% (Medicare allowable), if applicable
- Current Code Price (AWP-based pricing)
- Possible CPT® Administration Codes for each medication
