CPT^® 77301, Under Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services for Radiation Treatment

The Current Procedural Terminology (CPT^®) code 77301 as maintained by American Medical Association, is a medical procedural code under the range - Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services for Radiation Treatment.

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Summary

Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy tissue. With the help of three–dimensional computed tomography (CT) and a computer–controlled delivery system, multiple radiation beams of varying intensity are directed at the tumor from different angles. This reduces the risk of exposure for the healthy tissues that might come in the way of the beam as the intensity and angle of each beam can be adjusted with the help of the computerized delivery system. IMRT is widely used for treatment of cancerous tumors of the head, neck, prostate, lung, GI tract, thyroid, and breast.

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Have a question about CPT Code 77301 ? Start a discussion here

Billing IMRT planning 77301 same date as E&M

I know that stimulations cannot be billed on same DOS as E&M codes, unless of course separate and significant, however I'm not finding a clear answer regarding billing IMRT planning 77301 on same DOS ... [ Read More ]

Radiation Therapy: 77014 Medicare Denial

[QUOTE="jflynn124, post: 476038, member: 313103"] I've only had this problem with Humana. I wrote a very strongly worded letter of appeal breaking down what Medicares policy actual states which is; 77... [ Read More ]

Radiation Therapy: 77014 Medicare Denial

I've only had this problem with Humana. I wrote a very strongly worded letter of appeal breaking down what Medicares policy actual states which is; 77014 cannot be billed within 14 days of code 77301 ... [ Read More ]

Radiation Therapy: 77014 Medicare Denial

In May 2020, Medicare began denying the conebeam 77014 when billed within 14 days of 77301. We sent documentation to Medicare and stated that the denial was an error and fixed the problem reprocessin... [ Read More ]

BILLING CPT 77014

Different payors want the 77387 rather than the 77014. Just curious are you a freestanding clinic or a hospital? I work at a free standing clinic. Some payors won't pay the 77014 if it is billed withi... [ Read More ]

BILLING CPT 77014

I have been having issues with Humana denying 77014-26 when billed within 14 days of 77301-26. They are stating 77014 is bundled. While this is true for the technical component, the professional compo... [ Read More ]

Billing 77331

Did you mean 77331, as in your title? If so, it looks like it's included in 77301: IMRT planning code 77301. Effective January 1, 2017, CMS issued updated guidance on the CPT codes that may be report... [ Read More ]

Billing 77331

I have a patient that is a breast IMRT plan 77301 with 3D and bill the Diodes 73331 they are denying. This procedure or procedure/modifier combination is not compatible with another procedure or proce... [ Read More ]

Modifier 9Z

Hi Deb, IYou may have already learned, but 77293 is an add on code, and must be coded together (same DOS, same claim#) with the planning CPT (IMRT/3D/SBRT) etc. 77301/77295, etc. hope that helps.... [ Read More ]

Documentation for 77307 and 77321

What is the required documentation for both physician and facility documentation for CPT code 77307 and 77321? I have a physician who does a physician note detailing medical necessity for 77295 and 7... [ Read More ]

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