Overview Of Radiation Therapy CPT Codes – Part 2

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Overview Of Radiation Therapy CPT
Codes Part 2
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Overview Of Radiation Therapy CPT Codes Part 2

• Radiation oncology encompasses a wide range of
  medical procedures and services aimed at
  providing effective and targeted radiation
  therapy to patients with cancer. Within this
  field, there are six distinct code categories
  that play crucial roles in the comprehensive care
  of patients undergoing radiation treatment. These
  6 categories are consultation preparing for
  treatment, medical radiation physics, dosimetry,
  treatment devices, and special services
  radiation treatment delivery radiation treatment
  management and follow-up care management. Each
  of these code categories plays a critical role in
  the comprehensive care provided by radiation
  oncology professionals, ensuring accurate
  treatment planning, precise delivery, and ongoing
  management of radiation therapy for patients with
  cancer. In the first part of this article
  overviewed first 3 categories of radiation
  therapy CPT codes. In this part, we will overview
  remaining three categories i.e., radiation
  treatment delivery radiation treatment
  management and follow-up care management.
• Categories of Radiation Therapy CPT Codes
• 4. Radiation Treatment Delivery
• Radiation treatment delivery refers to the
  administration of radiation therapy to the
  patient as per the prescribed treatment plan. It
  involves the use of linear accelerators,
  brachytherapy devices, or other specialized
  equipment to deliver therapeutic doses of
  radiation to the targeted treatment area. This
  category includes CPT codes like,
• Radiation treatment delivery, superficial and/ or
  orthovoltage (CPT code 77401)
• Radiation treatment delivery (CPT codes 77402,
  77407, 77412)

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Overview Of Radiation Therapy CPT Codes Part 2

• Radiation treatment delivery (G-codes) (G6003,
  G6014)
• IMRT treatment delivery (CPT codes 77385, 77386)
• IMRT treatment delivery (G-codes) (G6015, G6016)
• Port images (CPT code 77417)
• IGRT (CPT code 77387)
• IGRT (G-codes) (G6001, G6002, G6017)
• CT guidance (CPT code 77014)
• Proton treatment delivery (CPT code range
  77520-77525)
• Neutron treatment delivery (CPT codes 77422,
  77423)
• SRS treatment delivery (CPT codes 77371, 77372)
• SBRT treatment delivery (CPT code 77373)
• Hyperthermia (CPT code range 77600- 77620)
• LDR Brachytherapy (CPT code 77778)
• HDR Brachytherapy (CPT codes 77770, 77771, 77772)
• Electronic Brachytherapy (0394T- 0395T)
• IORT (CPT codes 77424, 77425)
• Surface application of radiation source (CPT code
  77789)
• Infusion or installation of radioelement solution
  (CPT code 77750)
• Intracavitary radiation (CPT codes 77761, 77762,
  77763)

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Overview Of Radiation Therapy CPT Codes Part 2

• Supervision and handling (CPT code 77790)
• The complexity and extent of radiation treatment
  delivery determine the appropriate CPT code
  selection. The number of separate treatment areas
  and the level of effort required should be
  documented to support the code assignment. Ensure
  that the documentation includes details about the
  complexity of the treatment delivery, the number
  of treatment areas, and any additional
  complexities involved. Accurate and detailed
  documentation is essential for proper code
  assignment.
• 5. Radiation Treatment Management
• Radiation treatment management involves the
  ongoing supervision and monitoring of a patient
  undergoing radiation therapy. It includes the
  assessment of treatment progress, management of
  treatment-related side effects, modification of
  treatment plans when necessary, and coordination
  with other healthcare professionals involved in
  the patients care. This category includes CPT
  codes like,
• Radiation treatment management (CPT codes 77427,
  77431)
• SRS treatment management (CPT code 77432)
• SBRT treatment management (CPT code 77435)
• Intraoperative treatment management (CPT code
  77469)
• Special treatment procedure (CPT code 77470)

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Overview Of Radiation Therapy CPT Codes Part 2
The appropriate CPT code selection for radiation
treatment management is based on the number of
separate treatment areas and the frequency of
management. Proper documentation of the services
rendered and the complexity of the management is
essential for accurate code assignment. Ensure
that the documentation clearly supports the
ongoing management and supervision of radiation
therapy. Accurate and detailed documentation is
crucial for proper code assignment. 6. Follow-up
Care Management Follow-up care management in
radiation oncology involves the ongoing
evaluation, monitoring, and coordination of care
for patients who have completed radiation
therapy. It includes regular follow-up visits,
imaging studies, and assessment of treatment
response, as well as the management of late
effects or potential recurrence. Applicable codes
for this category includes office or other
outpatient visits for the evaluation and
management of an established patient i.e., CPT
code range 99211 99215. When coding for
follow-up care management, the appropriate CPT
code selection is based on the level of
complexity of the evaluation and management
services provided. The documentation should
support the medical necessity and complexity of
the visit. Ensure that the documentation clearly
describes the evaluation and management services
provided during the follow-up visit. Accurate and
detailed documentation is essential for proper
code assignment.
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Overview Of Radiation Therapy CPT Codes Part 2
In conclusion, the radiation treatment delivery
category involves the administration of radiation
therapy using specialized equipment and
techniques. Radiation treatment management
focuses on the ongoing supervision, monitoring,
and modification of treatment plans during
radiation therapy. Follow-up care management
involves the evaluation, monitoring, and
coordination of care for patients who have
completed radiation therapy. We hope that first
and second part of this article has given you
complete overview of radiation therapy CPT
codes. About Medisys Data Solutions
(MDS) Medisys Data Solutions (MDS) is a leading
oncology billing company that specializes in
providing comprehensive billing and coding
services for radiation oncology practices. With
our expertise in the complex and ever-changing
field of radiation oncology coding and
reimbursement, MDS ensures accurate and compliant
billing practices for the clients. Our commitment
to excellence and attention to detail make us a
trusted partner for oncology practices. Contact
Medisys Data Solutions today at
info_at_medisysdata.com / 888-720-8884
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