2026 Coding and Payment Guide for Medical Oncology/Hematology Services
An essential coding, billing and reimbursement guide for medical and radiation oncology and hematology services
Our Coding and Payment Guide for Medical Oncology/Hematology Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for oncology and hematology medical services. This comprehensive and easy-to-use guide is updated for 2026 and organized by specialty-specific CPT® codes. Each code includes its official description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.
- Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in your practice. With CPT® E/M Guidelines and our Optum Coding Tips, you have all the information you need to select the correct E/M code for the service provided.
- Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure codes, making your coding process for procedures and E/M services quick and efficient.
- ICD-10-CM code icons – Icons identify age-related and laterality diagnosis codes.
- Quickly find information. All the information you need is provided, including CPT® full code descriptions, lay descriptions, coding tips, procedure code-specific documentation and reimbursement tips, post op or follow up days, Medicare edits including IOM references and Medicare Unlikely Edits designations (MUE), and commonly associated ICD-10-M diagnosis codes.
- Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with the total RVUs for non-facility and facility also included.
- Customized HCPCS Level II Section. HCPCS codes commonly used in oncology and hematology with their full descriptions, and a customized chemotherapy drug table including brand names, and FDA approved usage are included for easy reference.
- CPT® Assistant references. Identify that an article or discussion of the CPT® code has been in the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct volume.
- Helpful illustrations. The detailed illustration section provides a better understanding of anatomy.
- ICD-10-CM Neoplasm Table. Provides an alphabetic listing directly from the 2025 ICD-10-CM table of malignant neoplasms.
- CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their associated CCI edits are provided in a special section. Quarterly updates are available online at the Optumcoding.com Product Update page.
Tara Rose, CPC, CPC-I, CPMA, RHIA
Tara Rose has more than 20 years of experience in the health care profession. She has extensive experience in auditing, physician billing, and multi-specialty coding with assignment of CPT, HCPCS, and ICD-10-CM codes. She has served in roles as a coding consultant, trainer, clinical investigator, community college instructor, and coding lead. She has experience providing education to physicians and both new and experienced coders. Tara is a member of her local AAPC chapter and holds credentials from the American Health Information Management Association (AHIMA).
Victoria Shishkina, MBA-HCM, CPC, CPMA
Victoria Shishkina has more than 10 years of experience in health care, possessing expertise in CPT, HCPCS, ICD 10- CM, and PCS. She has built a proven track record in analyzing, auditing, and resolving complex professional and outpatient facility claims, ensuring compliance with billing standards and regulations. In the past, she served as a clinical medical auditor, medical coder and biller, and was actively involved in professional development, having served as Vice President of the AAPC local chapter. She holds an MBA in Healthcare Management from Capella University.
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