Part 1:
3 FAQs Clear Up the 77427 5-Fraction Mystery
Published on Fri Feb 26, 2010
Master the math required for accurate 'weekly' reporting. CPT and CMS offer helpful rules for reporting 77427,but applying these rules in real world situations is a wholeother matter. Let the answers to these three FAQs shed light on this confusing code. 1. What Does 'Weekly' Mean? Providers often refer to 77427 (Radiation treatment management, five treatments) services as "weekly clinical management," but you shouldn't report 77427 automatically each calendar week. Instead, "weekly" clinical management is based on delivery of five fractions and documentation of a patient evaluation, says Deborah I. Churchill, president of Killingworth, Conn.-based Churchill Consulting Inc., which provides radiation oncology consulting. Those five fractions add up to whatproviders call a "week," "regardless of the time interval separating the delivery of treatments," Churchill says. Example: A patient has three treatment fractionsduring a calendar week, has a three-day break from therapy, and then resumes treatment the next calendar week, receiving [...]
