Wiki Rad Onc 77427

[Emmalia]

My group recently took on a Radiation Oncology group and we are having some difficulty receiving payment from Medicare (our MAC is NGS) for the treatment management code (77427). From what I have read we need to put the to/from dates on the claim. Now we are being told that each individual DOS needs to be listed on the claim as well. We are not sure if this needs to go in Box 19 or Box 24A? We are also running into problems if a patient is having multiple areas treated on the same DOS (Ex: RT Breast & LT Breast or RT Breast & RT Axilla).
Any insight into what other practices are doing would be greatly appreciated!

Thanks in advance!!

 

[jflynn124]

I do these every day and for Medicare I never put the to and from date ( I only do that for Humana). I use the date the doctor saw them, I bill it separately from any other services for that day and make sure that your bill dates for the 77427 are 7 days apart or 5 at the least, unless you see patients on the week-ends. Hope this helps.