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Thread: Radiation Oncology

  1. #1
    Join Date
    Apr 2007
    Billings, MT

    Default Radiation Oncology

    AAPC: Back to School
    I have a physician that charges 77427 for 5 days of treatment. Can he also bill a E/M code?
    Jennifer Pfister, CPC

  2. #2
    Join Date
    Apr 2007


    No he may not.

  3. #3
    Join Date
    Apr 2007
    Seacoast/Dover Chapter


    So I have a question then. If the patient comes in for 5 days of consecutive treatment. What should we be coding from? The consult or should the provider be documenting something after every treatment? Just an FYI, I code on the hospital side. Thanks! Sarah

  4. #4


    Physician services are documented by a weekly progress note. Attending physicians will examine the patient at least once per five fractions of treatment, and the code is 77427 (professional only, no hospital or facility charge). No other E&M code is allowed during the course of treatment or 90 days post RT.

    Luis Canovas, CPC
    Billing Manager
    Radiation Oncology
    University of Chicago Medical Center

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