Intensity, lesions, ports, and imaging are key.
Radiation treatment delivery can make a difficult claim as there are components of radiation intensity, ports, imaging guidance, and others. You should have a clear understanding of the coding options you have for radiation delivery. Here is a quick quiz to help you assess your understanding of radiation therapy delivery. Find answers to the quiz in the next issue of Oncology Coding Alert Vol18n10.
Question 1: Which of the following codes do you submit for radiation therapy in two areas each with three or more ports?
a) 77401
Question 2: Which of the following do not apply to code 77373?
a) Applies to stereotactic radiation therapy
Question 3: How do you report when your physician delivers radiotherapy using ultrasound guidance?
a) 77373
Question 4: Which of the following codes do you submit when your provider administers intraoperative X-ray radiations to treat an open tumor?
a) 77412
Question 5: Which of the following codes do you submit for placement of radiotherapy fields using computed tomography guidance?
a) 77387
b) 77402
c) 77407
d) 77412
b) Includes imaging guidance
c) One unit reported for each fraction of radiotherapy
d) One unit reported for each lesion treated
b) 77387
c) 77407
d) 77412
b) 77417
c) 77425
d) 77424
b) 77014
c) 77417
d) None of the above.