2026 Coding and Payment Guide for Medical Oncology/Hematology Services (Spiral)
Optum | 2026
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.
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