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Oncology & Hematology Coding Alert

Radiation Oncology:

3 Steps Take Your Radiation Treatment Coding to the Next Level

Published on Wed Apr 28, 2010

Keep your hands off 77402-77416 if you bill professional only.If you don't understand the importance of energy levels or same-day sessions, your independent facility's radiation treatment delivery claims could be headed for trouble. But if you follow these three steps, you'll be on your way to coding 77402-77416 with confidence.Step 1: Sort 77401-77416 by ComplexityCPT breaks "Radiation Treatment Delivery" codes 77402-77416 into different families based on complexity. (Note that the CPT manual does not refer to the codes as simple, intermediate, and complex.)Simple: 77402-77406 -- Radiation treatment delivery,single treatment area, single port or parallel opposed ports, simple blocks or no blocks ...Intermediate: 77407-77411 -- Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks ...Complex: 77412-77416 -- Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam ...Assuming the documentation supports medical necessity, you should [...]
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