CPT^® 77431, Under Radiation Treatment Management

The Current Procedural Terminology (CPT^®) code 77431 as maintained by American Medical Association, is a medical procedural code under the range - Radiation Treatment Management.

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Summary

In this procedure, the provider manages the complete course of radiotherapy treatment that is divided into one or two small doses called fractions. The two doses may be given over a number of weeks.

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MODIFIERS
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IMRT code 77431 Issues

[QUOTE="hodgeskm, post: 459902, member: 33291"] Hello, I think there is confusion of what constitutes a radiation treatment "week". A treatment "week" is described as 5 treatments. there can be weeke... [ Read More ]

IMRT 77431

77431 would be billed if there are ONLY one or two fractions billed in the total course of treatment. It's for the complete course of treatment. If your course includes more than the two fractions... [ Read More ]

IMRT code 77431 Issues

Hello, I think there is confusion of what constitutes a radiation treatment "week". A treatment "week" is described as 5 treatments. there can be weekends, or missed days, between the treatments. 77... [ Read More ]

IMRT 77431

Is anyone having an issue with getting IMRT code 77431 (Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only) paid by insurance? We are using code 77427 fo... [ Read More ]

IMRT code 77431 Issues

Denial for billing 77427 with 77770

Look at the NCCI Policy Manual - Chapter 9, #4 under Radiation Oncology. NCCI states - "Brachytherapy (CPT codes 77750-77790) includes radiation treatment management (CPT codes 77427 and 77431) and c... [ Read More ]

77431 Radiation therapy mgt

What is the definition of 1 or 2 fractions?... [ Read More ]

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