"Radiation treatment management is reported in units of five fractions or treatment sessions, regardless of the actual time period in which the services are furnished. The services need not be furnished on consecutive days."
"Multiple fractions representing two or more treatment sessions furnished on the same day may be counted separately, as long as there has been a distinct break in therapy sessions."
That is the definition, accordinig to the CPT book.
What I would say, is the 5 units are sessions - and they are distinct from each other. Or, there has been a break between therapy sessions, and the sessions total 5.
If the patient is being seen for only one therapy session on that Wednesday .. and not being seen again until week 2 - on Tuesday ... then that only totals 2 therapy sessions.
If the MD saw the patient 5 times on Wednesday of the 1st week .. then "yes," you can bill this 77427 code. If the MD didn't ... then maybe speak with the MD, and let him know what that you can bill for the 77427 code .. but he has to have 5 separate therapy sessions with the patient. I believe, according to the definition ... all 5 therapy sessions can be administered in one day (there just has to be a distinct breat between them).
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