Radiology Coding Alert

Reader Questions:

Check Symbol to Grasp 77371 Change

Question: My CPT 2010 manual indicates that 77371 is a revised code, but the definition looks the same to me as it did last year. Did this code change? Texas Subscriber Answer: The change to 77371 (Radiation treatment delivery, stereotactic radiosurgery [SRS], complete course of treatment of cranial lesion[s] consisting of 1 session; multi-source Cobalt 60 based) is not in the descriptor but in the addition of the moderate sedation symbol. The symbol, a circle with a dot in the center, means that moderate (or conscious) sedation is an inherent part of providing the procedure. As a result, you should not report moderate sedation (99143-99145, Moderate sedation services ...) alongside the service (77371).
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