CoderinJax
Guru
I need some help in re: to a few records that I'm looking at for one of our Dr's. He's a Dermatologist that also treats BCC's and SCC's. (Hemat/Onc coding is a new specialty for me.)
We have a patient that has SCC in 4 different sites (LT hand-2nd digit, LT hand dorsal, LT wrist, and LT lateral wrist) and comes in and has treatment on these 4 places on the same date.
We are billing CPT 77402 with 8 Units (UOS), because our Dr. is doing each site 2x (2 Fx's I think it's called?), 90kv is the modality, FX dose is 130, so the daily dose is 260 per site.
I've read the description of CPT 77402 and it says SINGLE treatment area, and I think that CPT 77412 might be better since it says "3 or more treatment areas". I'm confused as to why our Dr would be selecting 77402 vs. 77412. Anyone have ideas? I'm sure I'm missing something since this is new to me!
We have a patient that has SCC in 4 different sites (LT hand-2nd digit, LT hand dorsal, LT wrist, and LT lateral wrist) and comes in and has treatment on these 4 places on the same date.
We are billing CPT 77402 with 8 Units (UOS), because our Dr. is doing each site 2x (2 Fx's I think it's called?), 90kv is the modality, FX dose is 130, so the daily dose is 260 per site.
I've read the description of CPT 77402 and it says SINGLE treatment area, and I think that CPT 77412 might be better since it says "3 or more treatment areas". I'm confused as to why our Dr would be selecting 77402 vs. 77412. Anyone have ideas? I'm sure I'm missing something since this is new to me!