Wiki Radiation Coding - 77290

[ginger10]

I am new to radiation coding, and I have reviewed the 2014 updates for Radiation coding and have a question. The 77290 (complex) code states three or more treatment areas, or any number of treatment areas if any of the following are involved: particle, rotation or arc therapy, complex blocking, custom shielding, brachytherapy simulation, hyperthermia probe verification, and any use contrast material.

Does anyone have clarification on the complex blocking and custom shielding? Where can I find a definition, or what classifies these as complex and custom?

Thanks,
Ginger

 

[npricercm]

Radiation Coding-77290

There are all kinds of definitions on the CMS website. LCD243548,

http://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=24354&ContrId=130

There are also some study guides on ASTRO. https://www.astro.org/
See if your doctor is a member.


Nancy Price, CPC

 

[ginger10]

Thank you!!