Wiki IMRT billing/Cindy Parman

[KMayercsik]

Our center currently bills for the second IMRT plan, 77301, when medically necessary. This information was given to us by a radiation oncology consultant during an audit/training session. Yesterday, we had another consultant tell us that we are not to be billing for this second plan.
I could not find anything in our LCD policy or ACRO guidelines, addressing if or if it is not acceptable or allowable to bill a second plan, if necessary.
I recieved something regarding a seminar given by Cindy Parman regarding billing for the second plan. We are having a phone conference next week and I am hoping someone has documentation stating when and if it is appropriate to bill a second IMRT plan.

 

[diana anastasi]

77301 to be billed more then once

Hi: I just attended a 3 day conference by Cindy, and you can bill for 2nd plan if it's a different site/dx; it's not seen very often but according to our LCD's, it is acceptable when nedically necessary (new site)
Diana