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CPT codes 7741 are not utilized in SRS or SBRT treatment management.
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It is not appropriate to bill CPT code 77432 for the first fraction and CPT code 77427, 77431, or 77435 for the remaining fractions for the same treatment volume. If cranial SRS is delivered in two to five fractions, CPT code 77435 should be reported once for the entire course of treatment. These codes are mutually exclusive with the radiation oncology CPT codes 7745 therefore, the same physician should not bill for both these codes.ĬPT code 77432 can only be reported one time per session of single fraction cranial SRS. CPT codes 61796 – 61800 are reported for the work attributed to the neurosurgeon.

Radiation oncologists and neurosurgeons have separate CPT codes for SRS. Usually, a radiation oncologist will work with a neurosurgeon to perform SRS.

Fractionated stereotactic cranial and body radiotherapy codes apply only to hypofractionated (one to five fractions) radiosurgery using large doses per fraction. It is not appropriate to bill CPT code 77432 with CPT code 77470, 77427, 77431, and 77435 on the same date of service.Ī prolonged (four to six weeks) course of cranial radiation therapy should be billed using appropriate codes for conventionally fractionated radiotherapy. CPT code 7745 cannot be billed for the same patient for the same episode of care. When billing for non-covered services, use the appropriate modifier.įor all spinal radiosurgery (one to five fractions), use CPT code 77435 once for the entire course of treatment. Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. Please refer to the LCD for reasonable and necessary requirements. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) 元3410 Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT).
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To license the electronic data file of UB-04 Data Specifications, contact Tim Carlson at (312) 893-6816.
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Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. Product or publication creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions and/or making any commercial use of UB-04

Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any If an entity wishes to utilize any AHA materials, please contact the AHA at 31. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be copied without the express written consent of the AHA.ĪHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution orĭerivative work without the written consent of the AHA. All rights reserved.Ĭopyright © 2013 - 2022, the American Hospital Association, Chicago, Illinois. The AMA assumes no liability for data contained or not contained herein.Ĭurrent Dental Terminology © 2021 American Dental Association. The AMA does not directly or indirectly practice medicine or dispense medical services. Applicable FARS/HHSARS apply.įee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not AMA CPT / ADA CDT / AHA NUBC Copyright StatementĬPT codes, descriptions and other data only are copyright 2021 American Medical Association.
