Oncology & Hematology Coding Alert

Question: The guidelines for 77427 say you may report the code for five fractions -- and for three or fourfractions beyond a multiple of five at the end of treatment. How do we report this? Separate claims? Use a modifier? Massachusetts Subscriber Answer: You should report the services only after the oncologist completes the set of five therapy sessions (or the last three or four sessions beyond five). You should not need to report a modifier. But the dates you use vary by payer. Option 1 (most common): Report the first date of the five-fraction treatment segment as the date of service. Option 2: Report the last date of the five-fraction treatment segment as the date of service. Option 3: Report the first and last dates of the fivefraction treatment segment as a range for the date of service. For example: Your payer asks you to use the first date of [...]