Oncology & Hematology Coding Alert

Question: What is the proper CPT code for image fusion when the patient has stereotactic radiosurgery? South Carolina Subscriber Answer: To bill image fusion, you-ll have to use unlisted code 77399 (Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services). Reason: CPT guidelines state, -Do not select a CPT code that merely approximates the service provided. If no such specific code exists, then report the service using the appropriate unlisted procedure or service code.- Because there is no current CPT code that accurately describes image fusion, you must use an unlisted code. Include a description in box 19 of the claim form and expect a request for records from the payer. As with any unlisted procedure code claim, getting paid may be a challenge. And the reality is many payers consider fusion to be a part of planning and won't reimburse it separately. But you can put [...]