Oncology & Hematology Coding Alert

Tackle 77280-77295 1 at a Time for Watertight Simulation Claims

Ace complex vs. 3-D to earn an extra $200. You may have only one chance to report simulation per treatment course, so nab the right code the first time by focusing on the number of ports, treatment volumes, and treatment devices. Lock On to What Really Guides Simulation Coding CPT provides four simulation codes to choose from: • 77280 -- Therapeutic radiology simulation-aided field setting; simple • 77285 -- ... intermediate • 77290 -- ... complex • 77295 -- ... 3-dimensional. Each code has both professional and technical components, so be sure to append modifier 26 (Professional component) when reporting only the physician's services, says Erin Goodwin, CPC, CMC, director of radiation reimbursement at South Carolina Oncology Associates in Columbia. If your coding software doesn't alert you automatically when modifier 26 is an option, see if you can enter notes manually for a pop-up reminder, suggests Jennifer Crowell, CPC, CCC, CEMC, lead hospital coordinator [...]
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