CPT^® 77435, Under Radiation Treatment Management

The Current Procedural Terminology (CPT^®) code 77435 as maintained by American Medical Association, is a medical procedural code under the range - Radiation Treatment Management.

Additional/Related Information

Tabs

Summary

In this procedure, the provider manages the complete course of stereotactic body radiotherapy treatment in which he uses a three–dimensional coordinate system to locate small targets or lesions inside the body except the brain and spinal cord. He then destroys them with precision using externally generated ionized radiation. The entire course of treatment does not exceed five fractions and targets one or more lesions.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 77435 ? Start a discussion here

Radiationn Oncology: CPT 77435 bill for incomplete SBRT course of treatment?

You can bill the 77435 for 3 fractions out of a planned series of 5. The same rule would apply as you can bill 77427 for the final 3 fractions, as in a 28 fraction course of treatment... [ Read More ]

Radiationn Oncology: CPT 77435 bill for incomplete SBRT course of treatment?

77435 can billed for a course of treatment over 2 fractions and up to 5 fractions if I remember correctly. I don't have my book in front of me.... [ Read More ]

Radiationn Oncology: CPT 77435 bill for incomplete SBRT course of treatment?

Is it correct to charge for Treatment Management 77435 when patient received 3 of the 5 planned SBRT treatment deliveries? Medicare LCD states "CPT code 77435 should be reported once for the entire co... [ Read More ]

Radiation Oncology 77435 weekly charge.

The 77435 is billed with the last date of the treatment. As long as the MD treats the patient within the 5 factions, it will always get dated with the last fraction date.... [ Read More ]

Radiation Oncology 77435 weekly charge.

It's been awhile since I billed Rad Onc but for 77435, I billed it with the date of service for the 5th fraction - or the last fraction if the SBRT course was less than 5 fractions. This was for phys... [ Read More ]

Radiation Oncology 77435 weekly charge. 77435 radiation oncology sbrt

Does the first date or last date go on the claim? CMS is denying. I don't see anything written for guideline.... [ Read More ]

77435 (SRS OTV) Denied as Experimental 77435 otv denial srs otv

Hello, I have two separate patients who have Carefirst BC/BS and both are having the end of treatment OTV denied as experimental. The plan, 5 fractions and all other charges during treatment have gon... [ Read More ]

GAMMA KNIFE CODING for Facilities

I have a facility who is performing Gamma Knife procedures for malignant brain neoplasms. Per AMA/CPT ASTRO, Radiation Oncologist and Neuro Surgeon have separate CPT codes that are mutually exclusive.... [ Read More ]

IGRT bundling with SRS and SBRS treatment.

I am new to Radiation Oncology coding and having trouble reconciling literatures from ASTRO and the CPT manual, even NCCI edits. According to ASTRO CPT 77387 IGRT is included in the SRS and SBRS trea... [ Read More ]

Radiation Therapy 77014 and 77435

On 77014 for treatment delivery of Tomotherapy, was wondering if anybody knows of regulations that state whether or not this can be billed more than once per day if the patient is on a treatment regim... [ Read More ]

View All