Wiki for cpc exam prep

[minikapur]

what is the difference between clinical treatment planning and stimulation when coding ? eg
A pt with lung cancer and bone metastaisis is seen for complex treatment planning by a radiation oncologist.
which code to choose and why?
77263
77290

 

[purvashu]

Answer

I would choose 77263 code.
Clinical tx is a professional only service that takes the patient from the medial decision making process through the stage of developing a complete plan for the course of radiation therapy. Tx planning requires physician to understand the natural history of the pt's disease process, conceptualize the extent of the disease relative to adjacent normal anatomical structures, and integrate the patient's overall medical condition.

Simulations
once the physician has determined the appropriate tx plan, this plan must be transfered from an idea to the physicial reality of targeting the tumor to allow for the eventual accurate tx delivery. Stimulation is performed w/o actually delivering a tx, but utilizing all of the parameters of the tx to be delieverd.

I hope this helps you.