Coding Answer: CPT® code 77370 (Special medical radiation physics consultation) is used when the radiation oncologist makes a direct request to the qualified medical physicist for a special consultative report or for specific physics services for an individual patient.
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How many times can you bill 77370?
CPT® code 77370 is reported once per course of therapy. Use of this code requires a physician’s request detailing what analysis should be performed, together with a custom report from the physicist specifically addressing items in the physician’s request.
How often can CPT 77336 be billed?
“2. Continuing medical physics consultation (CPT code 77336) is reported “per week of therapy”. It may be reported after every five radiation treatments. (It may also be reported if the total number of radiation treatments in a course of radiation therapy is less than five.)
What is procedure code 77336?
Use CPT code 77336 for continuing medical radiation physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy (once every consecutive five treatments delivered …
How often can you bill 77427?
CPT® code 77427 is reported once per five fractions; however, if at the end of the course of treatment three or four fractions remain, another physician management visit would be appropriate.
What is an isodose plan?
An isodose plan is a graphic display of patient’s anatomy to include the distribution of radiation based on a prescribed dose and plan of care created by a radiation oncologist.
What is the difference between 77385 and 77386?
CPT 77385 is often appropriate for breast or prostate cancer diagnoses because critical structures are not in the immediate area. CPT 77386 may be appropriate for the left breast, depending on the location of the tumor and what tissues may be impacted.
Can you bill 77338 and G6015 together?
The CPT book states you can’t bill 77338 and G6015/77385 out together on the same day and yet the admin of the our Radiation dept is insisting we do it anyway and use modifier XE or 59 on 77338.
How many times can you bill 77263?
77263 is only billable once per course of treatment.
What CPT code is 77387?
CPT® code 77387 (Guidance for localization of target volume for delivery of radiation treatment delivery, includes intrafraction tracking, when performed) is a new code effective January 1, 2015, for use in the hospital setting. CPT code 77387 has both a professional component (PC) and a technical component (TC).
What is CPT code 77014 used for?
As a result, CPT Code 77014 can only be billed to describe the CT image guidance used to direct the radiation beam or to track motion during the process of treatment delivery.
Is CPT 55874 covered by Medicare?
Augmenix® Announces Medicare Reimbursement Rates for the new CPT Code 55874, which will be used to bill SpaceOAR® Hydrogel, Effective January 2018.
What is procedure code 77263?
Clinical treatment planning codes (CPT codes 77261-77263) are the professional charges for the physician to integrate the patient’s overall medical condition and extent of disease and to formulate a plan of therapy for the patient.
What is procedure code 17999?
Unlisted Service or Procedure Codes 17999 Unlisted procedure, skin, mucous membrane and subcutaneous tissue.
What is procedure code 77385?
CPT® Code 77385 – Radiation Treatment Delivery – Codify by AAPC.
What CPT code is 77427?
CPT® 77427, Under Radiation Treatment Management. The Current Procedural Terminology (CPT®) code 77427 as maintained by American Medical Association, is a medical procedural code under the range – Radiation Treatment Management.
What is Dosimetrist mean?
(doh-SIH-meh-trist) A person who determines the proper radiation dose for treatment.
Can 77412 and 77387 be billed together?
77387-TC should always be reported when image guidance is performed with CPT codes 77402, 77407 and 77412.
What is complex isodose treatment?
Complex isodose technique: As the ports (beams) used to target and treat the metastasis are often modified, a complex teletherapy isodose plan in addition to a simple teletherapy isodose plan may be considered medically necessary for the treatment of bone metastasis.
How do I bill my Sbrt?
Coding Question: What are the appropriate planning codes that may be billed for SRS or SBRT treatments? Coding Answer: For SRS and SBRT with forward planning, it is appropriate to bill CPT codes 77290 (simulation), 77295 (planning), and CPT either 77371/77372 (single fraction delivery) or 77373 (multifaction delivery).
Does Medicare cover 77387?
IGRT code 77387 is considered not valid for Medicare purposes by CMS for professional services. Reimbursement based on CMS guidelines does not cover 77387.
What is CPT G6015?
Collimator-based IMRT Treatment Delivery: CPT/HCPCS code G6015 Intensity Modulated Radiation Therapy (IMRT) delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session.
What is procedure code 77290?
The Current Procedural Terminology (CPT®) code 77290 as maintained by American Medical Association, is a medical procedural code under the range – Clinical Treatment Planning (External and Internal Sources) for Radiation Treatment.
How do you code radiation therapy?
Radiation treatment management is reported using the following CPT codes: 77427, 77431, 77432, 77435, 77469 and 77470.
Can CPT 77014 be billed with 77301?
Payment for the services identified by CPT codes 77014, 77280, 77285, 77290, 77295, 77306, 77307, 77321 and 77331, are included in the payment for CPT code 77301 (IMRT planning).