CPT^® 77295, Under Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services for Radiation Treatment

The Current Procedural Terminology (CPT^®) code 77295 as maintained by American Medical Association, is a medical procedural code under the range - Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services for Radiation Treatment.

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Summary

Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume reconstruction, dose distribution, and dose volume histograms, a summary of 3D dose calculations in graph form.

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MODIFIERS
ICD-10-CM

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77290/77295

[QUOTE="CHROMEa8, post: 469248, member: 27146"] ONLY BILL 77295 77290 is a component (included in ) 77295 override modifier not allowed don't forget modifier 26 or TC, if applicable [/QUOTE] Is it pos... [ Read More ]

Billing 77331

Did you mean 77331, as in your title? If so, it looks like it's included in 77301: IMRT planning code 77301. Effective January 1, 2017, CMS issued updated guidance on the CPT codes that may be report... [ Read More ]

77290/77295

ONLY BILL 77295 77290 is a component (included in ) 77295 override modifier not allowed don't forget modifier 26 or TC, if applicable... [ Read More ]

77290/77295

I am reaching out to ask if anyone is having any issues getting 77290 and 77295 paid. I know there is a CCI edit when billed on the same day, however Highmark is bundling 77290 into 77295. Can anyone... [ Read More ]

Radiation Oncology- Bilateral Savi/Mamo Tx

[QUOTE="vanessamoldovan, post: 465992, member: 82632"] What is the CPT code? [/QUOTE] We are treating this patient twice on each side of breast in the morning and again in the afternoon a total of 4. ... [ Read More ]

Modifier 9Z

Hi Deb, IYou may have already learned, but 77293 is an add on code, and must be coded together (same DOS, same claim#) with the planning CPT (IMRT/3D/SBRT) etc. 77301/77295, etc. hope that helps.... [ Read More ]

Documentation for 77307 and 77321

What is the required documentation for both physician and facility documentation for CPT code 77307 and 77321? I have a physician who does a physician note detailing medical necessity for 77295 and 7... [ Read More ]

Denial for billing 77427 with 77770 77427; 77770 medicare denial

57126 77295-26 77770-26 77427 Each was billed at POS 22, each as one unit of service, each were billed with the same from and thru date (02/01/2019) and Medicare paid everything but the 77427. I have... [ Read More ]

Referring within the same practice

[b]Stereotactic Services - Physician same practice but different facility[/b] Question- If a provider from the same radiation practice is treating a bone lesion with external beam (2D plan-77307 & 77... [ Read More ]

Pending OIG 2019 Work Plan for Outpatient 3-D Radiation Therapy Planning

[QUOTE="CANDERSON, post: 447196, member: 69246"]I am questioning if we should be billing a second 77295 for boosts/ cone downs using the same CT as the original plan? If not, then what do we charge?[... [ Read More ]

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