CPT^® 77385, Under Radiation Treatment Delivery

The Current Procedural Terminology (CPT^®) code 77385 as maintained by American Medical Association, is a medical procedural code under the range - Radiation Treatment Delivery.

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Summary

The provider uses computer designed mapping and physical compensator to deliver precise, high intensity radiation doses to a malignant tumor or specific areas within the tumor while minimizing the dose to surrounding normal tissues. He determines the treatment delivery based upon tumor shape and CT images along with computerized dose calculations. Providers use this type of radiation therapy to treat cancers like breast or prostate cancer.

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77417 bundled with 77385?

Hello, We are getting denied under hospital billing outpatient for radiation therapy per Managed Medicare payor is stating procedure code 77417 is bundled with 77385? Do we need add a modifier? Plea... [ Read More ]

Billing 77338 and G6015/77385

It is for the Boost, then on the same date of service as the boost they are also doing a radiation treatment (77385 or if Medicare G6015). I don't understand why you can use any modifier if the CPT co... [ Read More ]

Billing 77338 and G6015/77385

The CPT book states you can’t bill 77338 and G6015/77385 out together on the same day and yet the admin of the our Radiation dept is insisting we do it anyway and use modifier XE or 59 on 77338. Is ... [ Read More ]

Crosswalking Rad/Onc codes between plans

More like apples (G6015) to red-apples (77385) and green-apples (77386). :) Yes it is written that the 77385-77386 are for hospital based and the G6015 is for free-standing...but real world for fre... [ Read More ]

Crosswalking Rad/Onc codes between plans

So, it's totally a parallel to bill 77385 and G6015? It's not apples and oranges? Is there an online resource to find this stuff in the future?... [ Read More ]

Crosswalking Rad/Onc codes between plans

CPT 77385 is for IMRT Delivery that includes guidance and tracking; Simple - in [B]Hospital Setting[/B]. G6015 is IMRT Delivery; single or multiple fields/arcs, via narrow spatially and temporally mo... [ Read More ]

Crosswalking Rad/Onc codes between plans

I have a question regarding crosswalking Radiation Oncology codes between a commercial primary insurance plan and Medicare as secondary. Is it normal for one CPT: 77385 to crosswalk into two HCPCs co... [ Read More ]

77014 w/77385

77385 includes guidance and tracking then it should be billed alone and perhaps Cigna 'caught' it and has denied.. I found this web site with FAQ maybe it can help you but from what I've seen in the p... [ Read More ]

77014 w/77385

We've always billed the 77014 with 77385 and gotten paid but now Cigna is denying the 77014 stating it's bundled with the 77385. I know the CPT book states that 77385 includes guidance and tracking bu... [ Read More ]

Suggestions for coding the Frieburg Flap High Dose Radiation delivery method 77768 77771 brachytherapy frieberg flap radiation

Hello all, I am looking for insight on how to code the Frieburg Flap high dose radiation delivery method. Here is the general info: DX: C50.412 (Breast cancer) Treatment: Intensity Modulated Radiati... [ Read More ]

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