Wiki Radiation Oncology Weekly Management and Boost Planning

[Emmalia]

Hello Rad Onc Coders! I'm relatively new to coding this specialty and have 2 questions...

1: Patient is seen for fractions 1, 3, 4 & 5 by Provider A as supervising. Provider B sees the patient for fraction 2 and does the weekly treatment management note. Who does the 77427 get billed under?

2: When can a treatment planning (77307) be billed for a boost plan? Is it only billed when it is documented as medically necessary and a re-CT is performed? Is it billable if it is done at the beginning of treatment along with the initial treatment planning for a non-IMRT plan?

Thanks for your help!
Emily

 

[Sarah8307]

Bill under the physician that created the document.

 

[jroberts1346]

It is the physician that does the note.