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2006 Oncology Demonstration Project

This one time notification provides information on the one-year oncology demonstration project for calendar year 2006. This project replaces
the 2005 chemotherapy demonstration project. The oncology demonstration, applicable to services furnished in 2006, will build on the use of G-codes to gather more specific information about cancer patients, including their treatments; the spectrum of care they receive from their doctors; and whether or not the care represents best practice. Reporting will no longer be specific to chemotherapy administration services, but instead will be associated with physician evaluation and management (E & M) visits for established patients with cancer. The demonstration is available to office-based hematologists/oncologists who provide an E & M service of level 2, 3, 4, or 5 to an established patient (as reported under the American Association's Current Procedural Terminology), when the service is delivered to a patient with a primary diagnosis of cancer belonging to one of the following major diagnostic categories: cancer of the breast (invasive), colon cancer, rectal/recto-sigmoid cancer, prostate cancer, lung cancer (both non-small cell and small cell), gastric cancer, esophageal cancer , pancreatic cancer, ovarian cancer, head and neck cancer, non-Hodgkin’s lymphoma , chronic myelogenous leukemia, and multiple myeloma.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 10, 2006

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.