How often can you bill 77336?

every five fractions
You should be able to bill the 77336 every five fractions regardless of type of therapy. The restriction with the 77301 is that you need to prove that the physicist actually did the weekly physics check above and beyond the check of the 77301.

What is procedure code 77336?

Use CPT code 77336 for continuing medical radiation physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy (once every consecutive five treatments delivered …

How do you code radiation oncology?

Radiation treatment management is reported using the following CPT codes: 77427, 77431, 77432, 77435, 77469 and 77470.

What is the global period for radiation oncology?

Phone calls during treatment are included in the work captured in CPT code 77427, which includes a 90-day global period after treatment is completed, and therefore CPT codes 99441 – 99443 cannot be billed separately during this time.

What is an XE modifier?

We define these modifiers as follows: • XE – “Separate Encounter, a service that is distinct because it occurred during a separate encounter.” Only use XE to describe separate encounters on the same date of service.

How often can CPT 77336 be billable?

CPT® 77336 is billable only one time per five fractions of treatment. At least three fractions of therapy must occur at the end of the course for an additional continuing physics charge to be billed. CPT® 77336 will be approved at a quantity equal to the number of authorized fractions divided by 5, rounded to the nearest multiple of 5.

What is CPT code 77338 for radiation therapy?

CPT code 77338 Multi-Leaf Collimator (Mlc) device(s) for Intensity Modulated Radiation Therapy (IMRT), design and construction per IMRT plan. Do not report 77338 more than once per IMRT plan. Do not report 77338 in conjunction with G6016, compensator based

When to use CPT code 77290 for complex simulation?

Use CPT code 77290 to report complex simulation for three (3) or more treatment areas, or any number of treatment areas if any of the following are involved: particle, rotation or arc therapy; complex blocking; custom shielding blocks; brachytherapy simulation; hyperthermia probe, verification; any use of contrast materials.

How often should a CT code 77295 be charged?

Code 77295 may be billed once per treatment course per treatment volume. In those uncommon circumstances, where there is a substantial change in either patient anatomy or tumor conformation and where a second CT dataset is required to produce an accurate, efficacious and safe “cone-down” plan, a second 77295 charge may be appropriate.