Wiki Radiation Oncology 77435 weekly charge.

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Does the first date or last date go on the claim? CMS is denying. I don't see anything written for guideline.
 
It's been awhile since I billed Rad Onc but for 77435, I billed it with the date of service for the 5th fraction - or the last fraction if the SBRT course was less than 5 fractions. This was for physician based billing and you don't mention what provider/facility type you are in. If you haven't done so, check your MAC's website to see if they have any guidance. Our MAC - CGS - has a section on Radiation Oncology with various reference items.
 
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