Wiki 77386 & 77332-59

[greene8407]

Hello.
I am looking for guidance on billing for the facility (outpatient). Is it appropriate to bill 77332-59 for the ERB insertion/supply each time the IMRT is completed (77386). Or is there another way to bill for the device. Does anyone have references for this situation? Any help appreciated.

Thanks
Heather

 

[snodine]

From ASTRO guidance (and also AMAC) the rectal balloon would be billed 1 time per course of treatment during simulation as a 77334--it cannot be billed daily even though it is disposable. The additional advice was to negotiate with your payor for a supply code reimbursement for the balloon material itself on a daily basis.