Oncology & Hematology Coding Alert
Code Checklist
77401 Radiation treatment delivery, superficial and/or ortho voltage
77402 Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; up to 5 MeV
77403 ... 6-10 MeV
77404 ... 11-19 MeV
77406 ... 20 MeV or greater
77407 Radiation treatment delivery, two separate treatment areas, three or more ports on a single treatment area, use of multiple blocks; up to 5 MeV
77408 ... 6-10 MeV
77409 ... 11-19 MeV
77411 ... 20 MeV or greater
77412 Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, special particle beam (e.g., electron or neutrons); up to 5 MeV
77413 ... 6-10 MeV
77414 ... 11-19 MeV
77416 ... 20 MeV or greater.
Oncology & Hematology Coding Alert
- Should You Bill for Multiple Radiation Treatments on the Same Day?
If you thought you couldn't get paid for multiple radiation treatments on the same day, [...] - Watch Out:
Monitor Your 20-MeV Code Usage
Keep a careful eye on how often you report 20-MeV codes (77406, 77411 and 77416) [...] - Radiation Therapy Made Simple:
Code Checklist
Need to refresh your memory of CPT codes for radiation therapy delivery services? Take a [...] - Document 38220, 38221:
Heres How
Need direction on how to educate your oncologist regarding unbundling 38220 (Bone marrow; aspiration only) [...] - Bone Marrow Biopsy and Aspiration Revisited - How to Unbundle 38220, 38221 for Better Pay
The advice youve read and heard about coding bone marrow aspirations and biopsies could be [...] - You Be the Coder:
Physician Supervision of Hospice Care
Question: Our oncologist has been supervising the care of a hospice patient with brain cancer [...] - Reader Questions:
Distinguish Between a Screening and Diagnosis
Question: How can I determine whether a mammogram should be coded as screening (76092) or [...] - Reader Questions:
Report 77427 for 3 or More Radiation Fractions
Question: How should our oncology practice code for more than five fractions in a radiation [...] - Reader Questions:
Use 99201-99205 for Independent Second Opinions
Question: After a patients oncologist diagnosed him with stomach cancer (151.0, Malignant neoplasm of stomach; [...] - Reader Questions:
Bill Incident-To Services Correctly
Question: A patient came into our multiphysician oncology practice for her monthly chemotherapy treatment. Her [...] - Reader Questions:
File E/M, Chemotherapy Administration Separately
Question: My oncologist and I disagree about whether we should bundle E/M services (99211-99215) and [...] - Reader Questions:
Bill Patients Who Refuse to Sign ABNs
Question: Which modifier should I report when a patient signs an advance beneficiary notice (ABN) [...]
