Wiki CPT G6015 and 77014

[JayalakshmiF]

Hello, Can anyone help me out whether we can bill CPT G6015 & 77014 together on same day.

 

[sls314]

Hello, Can anyone help me out whether we can bill CPT G6015 & 77014 together on same day.

What's the place of service? Outpatient hospital, or freestanding? If freestanding, do you bill separately for the TC & PC? Or do you bill freestanding globally on one claim?

Also, are you billing for the physician or the facility?

 

[JayalakshmiF]

We are billing the charges under POS 11 and billing for the physician. CPT 77014 was usually billed globally but for HMO) billed with splitting as TC & 26.

 

[sls314]

We are billing the charges under POS 11 and billing for the physician. CPT 77014 was usually billed globally but for HMO) billed with splitting as TC & 26.

You would not report G6015 on a physician split claim. That's the treatment delivery charge, not a physician charge.

If you're split billing the TC/PC in a freestanding setting, it should go on the office charge. The physician would only bill the IGRT with a 26 modifier. The office would bill the G6015 and the IGRT with a TC modifier.

ASTRO has a chart for reference on the website, as well as additional coding guidance you may find helpful:

https://www.astro.org/daily-practice/coding/coding-guidance/coding-guidance-articles/image-guided-radiation-therapy-(igrt)

 

[JayalakshmiF]

You would not report G6015 on a physician split claim. That's the treatment delivery charge, not a physician charge.

If you're split billing the TC/PC in a freestanding setting, it should go on the office charge. The physician would only bill the IGRT with a 26 modifier. The office would bill the G6015 and the IGRT with a TC modifier.

ASTRO has a chart for reference on the website, as well as additional coding guidance you may find helpful:

https://www.astro.org/daily-practice/coding/coding-guidance/coding-guidance-articles/image-guided-radiation-therapy-(igrt)

Thank You Susan.