CYBERKNIFE billing for brain mets

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Wondering if it is correct coding to bill and new plan for each brain met, also to bill an initial treatment G0339 for each new brain lesion treated. For example a physician is treating a left front lobe met, left temporal lobe met, and right cerebellar met all on consecutive days. A 77295, 77300x10 and 77334 were billed for each lesion. A G0339 was also billed for each on consecutive days with imaging. In addition they are billing a 77432 for complete course with each lesion?


Would this be correct coding?

Thanks for your help
 

em2057

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CYBERKNIFE billing for brain mets

Generally the plan for all these brain lesions would be approved on the same day, you are therefore only able to bill 1 time for the 3D treatment plan (77295), you can however bill for all dosimetry and devices. The treatment delivery charge is billable only 1 time per date. You indicated all lesions were being treated on consecutive days this would be one treatment course - assuming one treatment per lesion the treatment delivery should be billed as G0339 (initial day), G0340 x 2 (for each consecutive treatment day up to 5 days). Hope this helps
 
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