Wiki CPT 77293 is it reimbursable?

[DCarrier0626]

There is a CPT that is new for this year for Radiation Oncology specialty. The code is 77293 and is an add-on code. I have read several different articles and still can't determine if this code is reimbursable. There is a fee for it in the 2014 Medicare fee schedule. Does anyone have any additional information?

 

[jbrown5]

add on code +77293

I have seen it stated on ASTRO that this is a pro and tech fee BUT when I look up the expected reimbursement there is only a pro and tech split when billing globally. When billing hospital outpatient (HOPPS) the status indicator is N - which usually means if you are a hospital facility there is no separate reimbursement for this code but that it is packaged into payment for other services.

 

[MarcusM]

You should use the AAPC Coder:

New add–on code +77293 is intended for use with 77295 and 77301. The AMA added this code to represent getting a respiration–correlated or 4D CT simulation study for radiation therapy planning.

Respiratory motion management simulation (List separately in addition to code for primary procedure)
Notes:
0 (Use 77293 in conjunction with 77295, 77301)

Facility $432.38 $436.43 $103.42 $333.00
Non Facility $432.38 $436.43 $103.42 $333.00