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Thread: radiation oncology coding question

  1. #1

    Cool radiation oncology coding question

    AAPC: Back to School
    Ok, here goes, Urology MD dictates that he inserted needles into the perineum and prostate(brachytherapy)so I'm looking at cpt 55875, the radiation oncology doctor dictated he inserted needles thru the template into the perineum then inserted more seeds into the prostate with US so I'm looking at cpt 55875 with 77778 and US 76965. Now my question is being an ASC(Ambulatory Center) I can't use modifier 80 or 62 as they aren't approve for an ASC, so should the Urologist get the cpt 55875 with modifier 52??? Or am I coding this incorrectly?
    I've never coded these procedures before as am a little nervous in doing so....as we get larger more cases are coming thru....
    Any help would be greatly apprecated.
    Last edited by scgcpc2002; 12-17-2007 at 10:06 AM. Reason: spelling

  2. #2
    Join Date
    Apr 2007
    Palm Beach


    As an ASC facility, you certainly should be billing for the 55875, no modifier is needed. Although, I am a little surprised that your facility has an ultrasound machine (most surgery centers don't). Currently, you will not get reimbursed from Medicare for any radiology codes, but that is changing. In 2008, the ASC facility will be reimbursed from Medicare for the radiology as well as the the source material. Check out www.fasa.org for more information on the brachytherapy information.

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