Wiki Confused about G0339 and 77373 SBRT coding

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SarahSee1114

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I'm trying to determine if facilities bill 77373 and physicians bill G0339? Per Encoder, G0339 is a professional code and 77373 is technical only. But I've seen a crosswalk from ASTRO that states G0339 crosswalked to 77373 which doesn't make sense to me. But I really just want to know if a facility and physician would both bill G0339. I think no, since there's not a PC/TC split. Help! Thanks everyone :)
 
SarahCaldwell said:
I'm trying to determine if facilities bill 77373 and physicians bill G0339? Per Encoder, G0339 is a professional code and 77373 is technical only. But I've seen a crosswalk from ASTRO that states G0339 crosswalked to 77373 which doesn't make sense to me. But I really just want to know if a facility and physician would both bill G0339. I think no, since there's not a PC/TC split. Help! Thanks everyone :)
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I code and bill professional fees for radiation oncology.

The physician bills 77435 (SBRT treatment management per course, not to exceed 5 fractions) or 77432 (SBRT treatment management of cranial lesion(s) consisting of 1 session). You'd only bill that once for the entire course of treatment.

The physician would not bill G0339 or 77373. Those are the technical treatment delivery codes. Hospitals cannot bill G0339 to CMS, but hospitals can bill G0339 to other payors (if that payor's policy requires it). G0339 is also used by freestanding centers for reporting to insurers that accept robotic treatment delivery codes.

If treatment exceeds 5 fractions, it is no longer SBRT, and it gets billed as IMRT (or 3D) instead.

By the way, if you're on Facebook, there's a new group for Radiation Oncology Coders and Billers. You're welcome to join: https://www.facebook.com/groups/radiationoncologycoders
 
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