Y90 ONCOLOGY CODES

claning

Networker
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39
Location
Huntington Beach, CA
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Hello! I have questions about billing the RT codes with the Y90 procedures. What is everyone doing? Any oncology experts?

What should I look for to bill 77778? I haven’t been billing that and think I may have been missing it. I have been coding 79445 for the Y90.

77261-3 I’ve been billing 77261 base on the single area of malignancy. The doctors always send 77263. Am I misunderstanding the coding? What should the documentation for that say? Should these be billed with the mapping procedure? Also, I have a note to bill once per case, does that mean once per patient for the same cancer, or once per treatment?

77470- this is another code that is often sent, I’m looking for documentation that extra planning is required, is that correct?

77300- I’m looking for documentation of the Dosimetry calculation, correct? Is this always done? I don’t see it very often.

Any other codes I could potentially be missing?

thank you for any tips you have!!

~~Carol
 

Jim Pawloski

True Blue
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1,426
Location
Ann Arbor
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1
Look up SIR-spheres, they have a nice coding sheet that shows all the possible codes for Y-90.
HTH,
Jim Pawloski, CIRCC
 
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