CPT^® 77263, Under Clinical Treatment Planning (External and Internal Sources) for Radiation Treatment

The Current Procedural Terminology (CPT^®) code 77263 as maintained by American Medical Association, is a medical procedural code under the range - Clinical Treatment Planning (External and Internal Sources) for Radiation Treatment.

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Summary

The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc therapy or brachytherapy). The treatment may involve using either a single mode or a combination of different modes of therapy.

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I read a few articles about billing EM Codes (99202 - 99205) and Radiation Oncology Clinical Management Codes (77261-77263). And is confusing to me. Can I bill EM Codes (99202 - 99205) and Radiation... [ Read More ]

Superficial Radiation Therapy in a Providers office and incident to billing

I have never done incident to billing and I know the basic rules when it involves a midlevel provider carrying out a plan of care on a patient. However, we recently brought in IG-SRT to our office. T... [ Read More ]

Y90 ONCOLOGY CODES

[B]Hello! I have questions about billing the RT codes with the Y90 procedures. What is everyone doing? Any oncology experts?[/B] What should I look for to bill 77778? I haven’t been billing that an... [ Read More ]

Radiation Oncology CPT 77263

[QUOTE="dmturner609, post: 441627, member: 52711"] Hi All, I have a physician who believes that for a patient receiving brachytherapy you can charge CPT 77263 at each brachytherapy visit. I am not s... [ Read More ]

Radiation Oncology CPT 77263

77263 is only billable once per course of treatment.... [ Read More ]

E/m code with procedure

The three codes you listed are all for the highest level of complexity. If I had to guess (because you didn't list the denial reason), I'd imagine the payer wants to see some medical documentation to ... [ Read More ]

E/m code with procedure

We have started getting denials when we have an e/m code with radiation set up codes (77263, 77290, 77334) we always were able to distinguish with a 25 mod. But are consistantly getting denials lately... [ Read More ]

Same day, billing office visit and procedure on separate claims.

Medicare denied a 99214 mod. 25 with 77263/77334/77290. when we called they informed us we had to use an unbundling code but not modifier 25. We always got paid in the past with the 25 modifier. I can... [ Read More ]

Visit with set up codes

We recently received mcr denial for 99214 (25 mod) which was billed with 77263/77290/77334. We were always paid in the past with a 25 mod on the e & m service. Call to medicare said we have to use "un... [ Read More ]

Radiation Oncology CPT 77263

Hi All, I have a physician who believes that for a patient receiving brachytherapy you can charge CPT 77263 at each brachytherapy visit. I am not seeing any information that this can be done. 77263 ... [ Read More ]

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