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Neurosurgeon radiation treatment planning with a radiation oncologist physcian.

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Hi All,

I am new to auditing and have a question. I appreciate any feed back I can get as well as reference materials (if possible).
I have a neurosurgeon who at times will resect a spinal metastatic tumor then partner up with the radiation oncologist to obtain a radiation treatment plan for the patient. He insists on billing 63620. However, my understanding is, if he has already performed the surgical resection the planning is already included in this code. Can this code be billed in this case?
Second scenario is if he does not perform a surgical resection, however, is part of the radiation planning, can he bill this code in this scenario. Again, I am very appreciative and grateful for any assistance/advice.

Thank you
Deborah Torres CPC, CPMA
 
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