Results 1 to 2 of 2

Radiation Oncology-Correct provider

  1. Default Radiation Oncology-Correct provider
    Medical Coding Books
    Good morning,

    I have a question for all Radiation Oncology Coders. Who is the proper provider for services rendered. Currently we code everything with the Oncologist as the provider, amd I am not sure that is correct. We are a facility.

    I know certain codes are technical only and some are combination codes.

    For example:

    Radiation treatment- 77418 - technical only should the technition be the provider, or the oncologist?

    Isodose plans- 77315 (technical and professional) -

    IGRT- 77421- (technical and professional)

    Any assistance or direction is greatly appreciated.

    Thank you,

  2. #2
    Location
    Des Moines, IA
    Posts
    41
    Default
    Hello,
    All technical services in a hospital are reported on the claim form under the attending physician. For services which are global or have a professional component, the hospital will still report under the attending physician, but all professional services are billed under the physician present on that date providing supervision and professional work on the CMS 1500.

    The physician present on site and who supervised and approved the treatment plan (77315) is the physician the professional component is reported under. The hospital will report the attending, so these may not be the same if the attending physician was not present on-site.

    For IGRT the technical is billed under the attending in the hospital and the professional will be billed under the physician who supervised and approved the images at time of treatment.
    Thank you,
    Teri Bedard, BA, RT(R)(T), CPC

Similar Threads

  1. Radiation Oncology Help Please!!
    By washington-hunt in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 03-26-2015, 12:07 PM
  2. Radiation Oncology
    By maryv in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-24-2014, 11:16 AM
  3. Radiation Oncology
    By jenp2005 in forum Hematology/Oncology
    Replies: 3
    Last Post: 07-14-2011, 11:38 AM
  4. Radiation Oncology
    By Lkimsey in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-29-2007, 08:04 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.